Hello all! I'm very frustrated with my current PCP and insurance provider. Have any of you had an experience like this? What did you do? (Sorry if this post is long and boring!)
I recently switch insurance providers due to a new job. I have been very disappointed with my experiences so far.
I am a T1 and my husband and I are trying to have a baby. Anyone in this same boat knows that top diabetes care and management is key to having a healthy pregnancy and baby, and that blood sugars are very wacky, for lack of a better term, during that time. This is my top concern and my priority right now.
With my previous insurance provider, I had regular appointments with a pre-pregnancy diabetes counselor/educator. Her main job was to get my blood sugar to where it needed to be to be as healthy as possible when I got pregnant. I was in contact with her weekly and I loved it. I also had a team of doctors there that would be my doctors throughout my pregnancy and during delivery, so they would all know me and my diabetes throughout the entire process.
With my new insurance, I had to select a PCP and make an appointment in order to get a referral to an endocrinologist. The first 2 appointments I made had to be canceled because the doctor was out of the office, and the second appointment got canceled because she was moving. I selected a new PCP and finally had my appointment.
During this appointment, I asked numerous questions about the care I would receive for pre-pregnancy and pregnancy. She said that with this insurance, there's no pre-pregnancy counseling, and that I would just go to a normal endo throughout my pregnancy. When it came time to deliver, I would have to go to a completely different hospital that has no affiliation with the endo I'll be seeing and will have completely new doctors for just the labor and delivery. I expressed concern about that and she said, "To tell you the truth, diabetes is very easy to manage when you're pregnant, so don't worry about that." That is the complete opposite of everything I've been told.
She answered some other questions (incorrectly), told me that she used to be in OB, so she knows about diabetes management, and gave me my referral. I made my two appointments with the diabetes educator and endocrinologist (luckily, I've seen them years ago) and I thought I would just ask them their procedures once I got there. Well, a day later I got a voice mail from my PCP that said she gave me the wrong referral and that "all bad cases of diabetes" go to a lady at a different clinic and that I need to call and make an appointment with her instead. "She deals with all the really bad cases of diabetes, so she will know what to do."
I also got a letter in the mail saying that since this is a specialty visit, no labs can be performed unless it's an emergency. All labs have to be done at your primary care clinic in order to be covered under the insurance. Are you kidding? I get labs done every time I go to the endo. So now you're telling me that I have to take more time off of work just to go get labs done that have to go back to my endo anyway?
I'm sorry for the long post, I'm just very frustrated and scared that I don't have the care that I need.