Her following hospital stays were much more expensive than that prescription drug. It took a lot of effort on the part of the physicians and her husband.
To get the insurance company to authorize the drug. If not, she would have spent the whole of her last year in the hospital due to low salt levels.
16. A medical insurance agent had to be persuaded by a residential addiction counselor that their patient required residential treatment rather than meetings.
This is a residential addiction counselor. Insurance companies who don’t believe our customers require treatment are a constant source of conflict for us.
When I worked with a client a few years ago who was using meth, IV, and on a daily basis, her insurance company said, “We don’t see the need for residential.”
She’ll probably be OK if she just attends a few meetings! I had to essentially argue my case in a peer-to-peer review with one of their reps.
