Tuesday, May 20, 2025

Give me the rep who's seen some things

My prescription insurer is Humana, the fourth largest healthcare insurer in the country. (Considering the business model of healthcare insurance companies, that means it’s a fucking big outfit.) The division that handles Humana’s mail order pharmacy is called CenterWell. Not an everyday brand, but as part of Humana, you’d kind of think it’s got some legitimacy in the field.

My primary care practice is OneMedical—as in Amazon OneMedical. (Don’t @ me; the preponderance of providers I’ve had there have been excellent, and you can always get an appointment when you need one. They also spend 20 minutes with you, instead of the industry-standard 15, or the 10 minutes I get at my orthopedic practice. And I’ve been with them since before the Amazon takeover.) Again—not hard to find or contact.

So it has been an absolute clusterfuck of an experience to get two medications my doctor prescribed for me into the CenterWell system…for more than two weeks.

I got the prescriptions filled for two one-month runs at CVS; after lab work confirmed that they were working, I used the CenterWell website to request a transfer. (During the second month, I received both emails and snailmail urging me to make the shift to save money.) I did everything as instructed and got online confirmation.

So when a week went by and I hadn’t received anything, I went back to the website. Seeing so signs of an order in process, I used their chat, where I allegedly got a human identifying itself as Sally. She informed me that “the fax we sent to your doctor was not a correct number.” She kept repeating, “The number we had was incorrect.” With some probing, I discovered that it took them six days to follow up the failure to connect, “[b]ut now we have the correct number and the new request was sent and we are waiting for your doctor to respond.”

Well, I terminated the chat and called their “customer care” line, where I spoke with Terri. She gave me the same improbable story: they only do this stuff by fax, and (implication) waiting six days to follow up is SOP. I still couldn’t get any sense out of my query as to why they didn’t have OneMedical contact details.

But, since I’m a girl who believes in redundant systems, I went to the OneMed portal and requested that they send the 90-day Rx to CenterWell. A little non-plussed to have one of the OneMedical staff ask for CenterWell’s name/address, as it wasn’t in their system, but I tracked it down and gave it to her. She said she’d sent them the prescriptions.

That was Friday.

Over the weekend I got two of these emails:

Which did not fill me with warm and fuzzy confidence. So I went online yesterday to find that CenterWell had no sign of having anything they were processing. (There was also no information relative to the email—I clicked on the link and got nothing that would tell me what provider or medication their email referred to.)

In chat, “Julia” kept repeating such vapid, banal phraseswrapped around the reality that she’s “mute” and therefore cannot do anything that would help break the logjamthat I asked her if she’s a bot. She says no, but…

Anyway—a call to customer care, where I get Belinda. Belinda has clearly seen some things. Belinda listens, checks up my history (seeing that I’ve been getting the meds filled at CVS) and says, “I’m going to call your doctor while you stay on the line. We’ll get 30 days at CVS, and when 15 days have passed, it will automatically trigger the 90-day request for mail order.” And she did it. While I was waiting, a notification came in from OneMed that they were reviewing the prescription request, and 15 minutes later, I had the confirmation.

But here’s the thing: two bloody multi-billion dollar companies with systems out the wazoo couldn’t get shit done for two fucking weeks until one woman called another. It shouldn’t have required that.

 

©2025 Bas Bleu

 

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