When I went to my Mom's pharmacy this afternoon, to pick up her six prescriptions, the pharmacy clerk told me that her usual approval did not happen and that her coverage had changed. No way. I called the provider and they said that someone signed her up for Medicare Part D. and that I would have to write or fax a letter to them and then call Medicare to let them know.
Here's the scam part. The provider said that for this past week they have had hundreds of calls from subscribers saying that someone had informed Medicare of the change. In my Mom's case, the assignment of Unicare. We never signed any documents etc. for this change. My guess is that someone in Unicare has decided to just sign up people and wait.
There was another younger woman at the pharmacy having the same problem with her Mom's prescriptions and was using a provider other than Medicare D. The pharmacy made no attempt in investigate the problem, not that they would be able to anyway.
So here is where it landed. Caremark will call my Mom's pharmacy and give them a one time lift of the denial and then will wait for my letter saying that my Mom never switched to Medicare Part D. Then I need to call Medicare (ever spend an afternoon waiting for someone to pick up the phone?) and waste hours.
If this is a big scam, I feel sorry for the older folks not having their kids to fight their battles for them. My Mom will never know this happened. She is dependant on her medications and would not survive without them.
Ugh.
My guess is that Unicare will be called on the carpet for this....RIGHT.....!
I am so piXXed off about this.
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12/02
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