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Old 06-12-2007, 12:48 PM
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Join Date: Dec 2004
Posts: 17

Nightmare getting info from Prescription Plan


What is the name of your state? Washington

My mother in law is 88, and in an adult family home. This is being paid for my Medicaid since her income is a small social security benefit . Annually my wife and I have to jump through hoops to account for every penny she has had come in or spent during the year in order to continue her qualification for Medicaid. If we do not provide the information they want within the deadline she will lose her care.

When the Medicare Part D came in we spent a lot of time making sure that she was on a plan that paid benefits for her drugs and was accepted by her pharmacy.

Due to errors by the chosen provider, eventually having it paid by the Federal government, because of her low income, there are details that must be documented for Medicaid. Namely that she made the payments for 4 months and that since then it was not billed to her. Sound simple?

The provider was sent our power of attorney, along with a written request, to which we got no response back in February. Since then we have spent 17 hours on the phone with various of their staff, most recently this morning. In every case they promise a letter within two weeks and it never comes. They tell us things like "it has to come from the finance department" who we cannot speak to, or "I see the request but it was not done for some reason." Each time we get a different person, from one of several "call centers." We write down the names but they are never in the same office when we call back.

After two extensions from Medicaid we are up against the last few days to get this simple letter. This morning we were told that the customer service person would speak to finance about it as soon as they came out of their weekly meeting. That was 4 hours ago, have not called back...

Any suggestions?

Last edited by bisjoe; 06-12-2007 at 12:49 PM. Reason: spelling
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