After 3 years without health insurance after a divorce, I got married and got insurance and I have been getting all of my check ups, mamograms, etc. I also have a bulging disk and alot of lower back, pelvic, hip pain that I have been suffering with for years and I am now seeking treatment with different doctors for it. I saw my ob/gyn who did a pelvic exam and an ultrasound and gave me pain meds because he thought it was a pinched nerve. Then I saw a GP who refilled my anti-depressants and xanax and referred me to a pain specialist. I then when to the pain specialist and got cortisone shots in my lower back which only worked for a few weeks but then I started my period after each set of shots in my pelvis and would bleed for over 30 days. I had more check ups and got referred to a doctor who specializes in women's hormonal issues and I have had her do blood and saliva test and thyroid tests on me. Now I am in physical therapy and it is helping but I am still in alot of pain. I take hydrocodone 5/500 a couple a day but I have gotten a tolerance to them. I finally went to a psychiatrist to get all of my meds synchronized and checked to make sure none of them were interacting with each other and found that my anti depressants weren't working and he prescribed me different ones. When I got the scripts I needed to get groceries so I used a different pharmacy. Now my doctor told me that all of my medical providers are receiving letters with all of my doctors and prescriptions and calling them into question. I have GAD, depression, and Organic Pain Syndrome which are all valid medical explanations for my meds, along with my bulging disc. I wonder if it is legal for the health insurance company to send all of this information to all of my doctors. Also the letter insinuates that I am doctor shopping and drug seeking. I am afraid of going back to the doctor when I need help, and afraid my insuance company is going to drop me. I am trying to get my problem diagnosed and treated, I don't want to be on pain meds but I don't want to be afraid to ask for them when I need them. Has this happened to anyone else?
michelle2010 the problem is that only 1 doctor should be given you certain ype narcotics,nsaids,opioids, when you go outside of that it causes problems... remember michael jackson got pain meds from a slew of doctors and their licenses were onthe line, you have to acknowledge before given another script that if it is a pain med then go to the original doctor(pain management) just get pain meds from him/her, if another doctor is treating a given diagnosis like diabetes,interstial cystitis,bladder issue, menstrual issue, it should be of another drug type for your condtion when you go back to pain mgmt you share the other medications with him/her and they will prescribe accordingly, in this way...
it not addictive looking or abusive, and no one would be in fear of their license to practice writing scripts, so yes they will tailgate you but try to get it under control/ your primary doctor and pain med doctor should work closely together, but they will exit responsibility of your care when you go doc to doc/ using another pharmacy isnt the problem either that is your choice you've given them a reason to red flag you!!! that is the problem... sounds like you need more facts, was there a pelvic ultra sound, was there a bone scan done, ask ob to order pelvic ultra sound and bone scan, since you had emg, mri, , then now your in therapy the aqua therapy, and deep muscle massage if offered at the facility along with the stem therapy to activae the nerve-muscles,but yes i went thru it, i worked since i was 15 now in mid 40s had 5th child in 2005 that resulted in pelvic pain, difficulty walking needing a brace low back pain all from a c-section, but i was misdiagnosed initially diagnosed with arthriris, bone scan talked about bladder, kidneystones, cysts, everything else, that was sent from orthopedics, in 2009 i found out it was ic all this time, now i know no more running in a circle chasing pain meds that dont work for me, once they dont know you move on... get your proper answers you know!!! vtech10
I think you need one doctor overseeing your meds. The insurance company unfortunately can consult with your doctors legally. Especially if they are paying for all this they need to find out if it is legitimattly(spelling?) prescribed for you. One doctor overseeing things makes it alot easier for them to swallow. You may need to talk to your doctors to see which one wants to oversee the issues, usually your primary care doctor should do it. You may need to sign a contract, which is common, saying you will only use one pharmacy and one doctor to oversee the issues. The other doctors can give your primary care doctor the information necessary to care for you. You may want to try this to ease your troubles some with the insurance company. Hope this helps you sort things out. Good luck
Unfortunately your insurance co. can contact your doctors. I don't see what the problem is. You take a pain pill and something for depression? Your insurance co. KNOWS that a psychiatrist will NOT prescribe pain meds. But your GP can prescribe anti-depressants. See if you could get all your meds under one roof. OB-GYN issues are totally separate. If they recommend hormone therapy, then do that. But don't let the OB doc prescribe pain meds anymore. When I was switched over to my husbands plan 2 years ago, I went hog wild! He had a good PPO. I had all the routine stuff done plus blood work, psychiatrist, ob-gyn, pain management, etc. Even now if my surgeon changes my pain meds, it shows I filled something similar just a few weeks earlier. But it was a different mg and a new prescription from the same doctor. So no questions asked. That's really the best thing to do, get your meds from one doc. Good luck to you. You always have the right to appeal the insurance co's decisions. Why should you be punished for taking care of your physical/psychological health?
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Posted 15 Aug 2010 • 6 answers
Posted 18 Aug 2011 • 3 answers
My insurance denied me testim after already giving me a three month prescription now they say it is?
Posted 27 Aug 2011 • 1 answer
Posted 19 Dec 2012 • 2 answers
Posted 26 May 2016 • 1 answer