Took me calling over and over for a period of over 3 hours for it to get sent. Now my insurance is closed so I can't verify with them it was sent until they open, again. We'll see.
Everyone besides the doctors office staff seems to understand very clearly that this is a simple process. Ridiculous.
I called the doc office to tell them this, again. The nurse was busy and the receptionist asked to take a message. I said well that seems to be the problem & used a few non threatening, passive cuss words (not directed at any individual, just about the situation & rhymes with ducking) to express my frustration. She said okay well you don't need to yell at me, I'm just taking the message. I said I'm not yelling at you. She quickly said yes you are, with a lovely attitude to match the lack of competency at this office, so I yelled into the phone, "This is what yelling sounds like, have her call me back now." And what do you know, she called me back and was very short with me, saying it's ready at the pharmacy you just have to pick it up. I said I know, but that doesn't mean it's covered by my insurance until you send the prior auth. She said it's taken care of. To verify, I asked, so you sent the prior authorization? She said yes.
So the nurse practitioner I was seeing (only saw her once to establish primary care) up and quit. No one let me know this whether via phone call, letter, email, etc...nothing. I only found out when I called to get my scripts refilled. They wouldn't fill my prescriptions without seeing the doctor who took over her patients. Naturally, this would irritate anyone. Pay for another visit just to get my meds that I've been taking for years? I said fine and waited to see him before I could get my medicine. Have been without my meds for almost two months now. My doctor and my insurance say that they are covered. My pharmacy says they are not, unless the doc office sends a prior auth to the insurance & it is approved. I asked the insurance, so it will be approved if they just send it through. They have verified this is correct multiple times with me. I can't begin to count how many phone calls I have made to the doc office, pharmacy & insurance company to fix this situation. Dr. Brayfield said he would have his nurse call the pharmacy (right at the end of my visit with him) to see what the problem is. Apparently they didn't, or the pharmacy is lying, I don't care which, I just need my medicine. The pharmacy said they've faxed the paperwork multiple times for the prior auth they need with no response. The doctors office said they never got anything. I verified with the pharmacy they were sending it to the correct fax number & they have been.
Funny how the only script I've been having problems with is my birth control. Especially since this is a religiously affiliated health care center. Maybe this review will get their attention. Why is it that I'm the only one making all the phone calls to fix this? Dr. Brayfield is really nice & a great doctor, but everything else sucks. I'll only change my review when this situation is fixed.
Just spoke with my insurance and pharmacy, AGAIN, and all they need is a prior authorization from the doctor. That's it. Just like I've been telling them for over a month and a half.
My doctor dissapeared. Allegedly he worked from home. I am glad that he no longer practices at SSM, because I have a new physician and I love her. I gave her 5 stars because I want her to know how much I appriciate her.
Ssm Health Medical Group is a US Health facility based in Lake Ozark, Missouri. Ssm Health Medical Group is located at 2265 Bagnell Dam Blvd Suite 103, Lake Ozark, MO 65049, USA.
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