Only a couple of days after taking Azithromycin (generic Zithromax) for asthmatic bronchitis, I developed a very itchy rash (hives). It started – well – “down there,” but one day later became apparent on my forehead, around my eyes, down my left cheek, behind my ears, and down my neck. Concerned, I went to the doctor again, and sure enough, it was allergic dermatitis. The doctor prescribed Clarinex, telling me to double the dose and take it twice daily. I took the prescription to the pharmacy and had them fill it, but the pharmacy tech told me that my insurance carrier, United Healthcare (UHC), denied the claim.
Because there’s no way I hell I’m going to pay $118 for an frickin’ antihistamine, I stepped away to call UHC and figure out why my prescription was denied. After wading through menu after menu in their phone system, I was able to get through to Latrice, who works in their North Carolina call center. I asked why Clarinex is not covered, and she said it was because there was an “over-the-counter equivalent.” When I asked what it was, she told me she did not have that information. I persisted, saying that if she’s going to tell me my claim is denied because there’s an “over-the-counter equivalent”, she had better darn well back it up and tell me which OTC medication it is. Again, she refused. I asked to speak with her supervisor, and she put me on hold.
While I was on hold, I couldn’t help but wonder why the frick they wouldn’t just tell me what the equivalent is so I can just buy it and be done with it?! Why does everything I do with regard to my health insurance have to be such a pain in the arse?! Then I remembered how United Healthcare harassed me a few months ago in an attempt to avoid paying the sizeable claims from Gwen’s dog bite. Oh yeah, that’s right. Health insurance companies are run by greedy-arse rat b-tards.
After about 20 minutes, Latrice returned and told me “their systems were down” and that she could not transfer me to her supervisor – even though she was apparently able to access the systems just fine when she verified my subscriber information at the beginning of the call (liar liar pants on fire). She suggested I call back in an hour. Yeah right. I told her that was unacceptable and that I required a call back from her supervisor immediately when their systems were back up. She said she could not do that. I told her to write my name and number on a piece of paper and hand it to her supervisor. Again, she refused.
I was beginning to tire of her insolence and demanded the address to their corporate offices, the complaint department, and the CEO of UHC. She again told me she could not provide the information for the complaint department because their systems were down. How convenient. She did tell me her supervisor’s name was Tasha Monroe yet still refused to provide the CEO’s name or address saying that I need to follow some “chain of command.” In my mind, I was like, “No, sweet cheeks, I don’t have to follow shiat.” Then I ended the call rather abruptly.
Seriously, I tire of all the endless bullshiattery!
I talked to my doctor’s office, and they said UHC might be confusing Claritin and Clarinex. I spoke with the pharmacist, and he said the same thing, but that the two medications are actually quite different. He suggested that Zyrtec, which was just recent made available over-the-counter, may be quite effective on skin reactions. Okay, whatever, I bought some and was on my way.
I got online a little later and did my own research. As it turns out, the pharmacist was right. I found information on an Allergist’s website that Zyrtec and Zantac taken together are quite effective against skin allergies. I thought Zantac was just for reducing stomach acid, but as it turns out, it’s actually an H2 receptor antagonist antihistamine. When combined with Zyrtec, which is an H1 receptor antagonist, it is said to produce some sort of “synergistic” effect that is greater than either alone. I don't really know what any of that means, but I'm willing to give it a try.
So as it turns out, this whole situation actually caused me to stumble upon a better treatment. But that is still no excuse for the behavior exhibited by United Healthcare. Even though it will probably do me about as much good as would spitting into the wind, I am writing a scathing letter and sending it to the CEO and five other top-level executives at UnitedHealth Group. I will post the letter, along with any responses or lack thereof.
Of course, I do not expect anyone at United HealthGroup to take this seriously. Why would they? According to Forbes.com, CEO Stephen J. Hemsley makes between $4 million and $8 million per year; and you bet your arse he doesn’t pay a dime for medical services. So why the frick would he give a shiat about someone having to pay $118 for a bottle of pills?
Anyway… enough ranting for now. There will be more to follow.