Among the approximately 400,000 people that would be helped by the extension of Medicaid connected to the Affordable Care Act are the people who need the most help. Mothers, children and the mentally ill in our communities.
The obstruction of this clearly shows the Republican majority in Virginia’s legislature have little concern for those in need, instead considering the most important thing is their careers and their next election.
Shame on you, Bill Howell, Tommy Norment and the people who enable this nonsense.
There are as many prescription drug problems as there are people looking for a cheaper prescription. The problem here, evidently, is that changing the propellant is good enough reason to jack the price up, since it is a “new” drug.
Does Mark Warner and Tim Kaine have these kinds of problems, being rich and Senators? Ask them, I have.
When Senator Mark Warner was notified about the prohibition of certain medications through Blue Cross-Blue Shield FEHBP medical plans, I got an answer back from his staff that relayed the message from OPM: Get another plan.
Instead of looking at this problem from the standpoint of the bigger picture of discriminatory health plans offered to federal employees, his staff decided to stand on the rules and claim that even though OPM had passed down their wisdom once already, I would need to fill out more paperwork in order to get help.
This is the mindset of an employer (BLM/DOI) who also didn’t know anything about disability when I was an employee. At the time, the BLM and Interior were on record as agreeing and abiding by the Americans with Disabilities Act.
However, the agency claimed it didn’t know what to do, even when I asked for accommodations.
Now this FEHBP plan has caused me a year and a half of grief. This is what happens when you work for the government.
Last year and this year, I have asked over and over again for some help in getting information about why the OPM is allowed to prohibit common prescriptions based on seemingly gender-centric reasons. There are maybe one or two reasons why these decisions apply to females as well, but the policy language is clear.
In March of 2014, I started asking for a medication which would treat two health problems. In March of 2015, after a year of waiting, I finally got the medication I asked for. Five different doctors sent authorization requests for the wrong diagnosis.
All along in this process I had been told by Blue Cross-Blue Shield that the medication in question was only able to be prescribed for a certain condition and no others. According to them, no medications for “…inadequacy, dysfunction, or sex change…” would be approved, according to the plan approved by the OPM.
I called the OPM several times over the last year.
One of the times I actually got to speak to an OPM employee in the section where these plans are drafted and approved, only for Blue Cross-Blue Shield. The man I spoke to said he didn’t remember a particular reason for prohibition of this medication, but did remember that things are cut and added to these plans on a cost benefit basis mostly.
Then I tried contacting my U.S. Senator on this issue. This is where the progress stopped.
Next time: OPM has a non-response to the complaint.
Ever try to talk to Blue Cross on the phone?
I don’t recommend it. Unless you have sedatives handy, that is.