PCP and Caring

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PCP and Caring


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Old 06-27-2013, 21:16   #1
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I have had very little trouble with my Primary Care Physician until just the last year. I have top premium insurance but still are forced for several reasons to buy my insulin at $100 a bottle.

This is what I have experienced this year:
1) must come in for 3 mo. visits no matter how busy at work or my life-time prescription insulin is not filled and I am forced to buy.
2) If I do come in it takes a whole month to get an appointment so I am forced to buy my insulin.
3) Wrong appoint times 7:30 when the office hours on the door say 8:00 I get a nasty letter saying I am going to be charged for missing my appointment after showing up, and then 1 month later I see the doctor who gave me a month supply instead of the 3 months.
4) The worst... My doctor recalculates my insulin usage on every visit and sometimes miscalculates and gives me only half of my insulin.

All of this said, me and my wife have been on the phone many hours this year trying to straighten all of the mistakes and miscommunications with the doctor's office and the pharmacy. I am a Vetran and can use the VA Hospital our hour away. I main question would be: should I change PCPs or use the VA hospital for my diabetic care. At least the VA has a specialist and the PCP seems to grasping at straws wanting to send my to heart specialists, eye doctors, on and on for his preventive care agenda but doesn't treat the basics that I need. Anyone have any suggestions on what path I should take:
Thanks

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Old 06-27-2013, 21:27   #2
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We have a few members that also use the VA, who may be along soon with comments. I am not familiar with the VA, but it certainly sounds like you need a new doctor caring for your diabetic needs. I can't imagine why insulin would have to be recalculated at every single visit, unless you were drastically changing your eating every three months. The three months time frame is what my endocrinologist requires until I am completely controlled, also. Personally, I would never settle for a doctor where it takes one month to get an appointment. In my opinion, you'd have better luck with an endocrinoogist from the VA or elsewhere, although others may also have different opinions.

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Old 06-27-2013, 21:32   #3
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Default Main Problem

Just to add, the problem is that the doctor is rewarded by the insurance company by being totally controlled. If I do a little cheating and shoot up extra from time to time then I will have to buy the extra bottles myself. This happens continuously. There is no margin for error and exact amount must be used to fall into the 3 month window or the insurance company refuses to fill the perm prescription.

Is this now a standard insurances are using?
I am afraid that as us Type I get older this problem is going to severely get worse. Am I the only one worried about the insurnaces cheaping out when we will be retired and not able to afford insulin?

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Old 06-27-2013, 21:46   #4
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You must get a new doc, that much is certain. If the VA in your area is strong and well-managed, you may get good care - others are not so confident of the VA and what it can offer. There's always some threat to VA funding.

How long have you been diabetic, and how have you managed it thus far? And what insurance do you have?




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Last edited by Shanny; 06-28-2013 at 03:51.
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Old 06-28-2013, 03:48   #5
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I would strongly suggest going to the VA. You may not need to use the hospital if you have a VA clinic nearby. They will do the blood draws and everything else for most tests and send the samples to the hospital lab they are affiliated with for the tests to be run. Also the VA has a program where you can access your records, scrips, and test results online.

Without knowing anything else it will be easier for you to see doctors and get your insulin. Not to mention cheaper. When I was using insulin I was paying $18 a vial, the second most expensive plan, and all testing supplies are free. Be warned strips are limited even for insulin users.

If you got any other questions, feel free to ask.

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