insurance | Unmotherly Insights

I am thoroughly dumbstruck. I was just informed by our mail-order prescription drug company that I do not have the rights, under newly amended HIPAA (The Health Insurance Portability and Accountability Act) laws to manage my 13 year old son’s prescriptions. This information was dumped on me after two hours of tech support idiocy as I attempted to set up an on-line account to streamline the process of ordering prescription refills for my family. Please note the irony here.

After finally being told that it would take 3 to 5 more business days to get the online account up and working, I decided to end the call before I dismantled the phone and furiously ingested its portable batteries. Then I remembered one more thing. I said,
“Well, can you at least tell me how to connect my son’s account with mine so that I can manage his prescription refills?”

“That depends,” the heavily accented voice on the other end of the phone stated.

“On…?” I took the bait.

“On how old he is,” she answered

“He just turned 13.”
“Oh, well then no. You cannot manage his account without his direct written permission.”

“But he doesn’t have an account. He’s 13.”

“Well, he will have to set up his own account and then he can order his own prescriptions.”

“But he doesn’t have a credit card. He has no way to pay for them. Wait a minute, is this a gag? You’re just joking with me because I sound like I’m about to lose it, right?”

“No ma’am. Once a child is 13, the new HIPAA laws require the child to give written permission to a parental caregiver to have access to any of their prescription drug information.”

“That is the most ridiculous thing I have ever heard. Who made that law? Seriously. I really want to know. Because it obviously wasn’t someone with a 13 year old child. Because my kid is a great kid. He’s responsible, practical, thoughtful. But, I can pretty much guarantee that left to his own devices, the last thing he’s gonna be focused on is ordering his allergy meds on a monthly basis.”

“Well, if he chooses to set up his own account and grants caregiver access to you then you will be allowed to order his medications.”

At this point, I excused myself and hung up, knowing that no good could come from my continued attempts to reason with the ridiculous automaton voice on the other end.

Let me be clear here. My 13 year old son requires my assistance to oversee and manage his pharmaceutical needs. And there’s no way I’m going to allow him (or his brother in 3 years) to do it themselves. Call me a helicopter parent, but setting 13 year old kids free to access their own stash of pharmaceuticals sounds like a pretty big recipe for large scale disaster. Am I missing something here?

So back off HIPAA. I’m the sheriff in this town. My kid takes the meds I buy him based on his doctor’s recommendation and I am not about to let a 13 year old boy make his own health care decisions without my express consent and input.

I just have one question. The new Obamacare laws allow kids to stay on their parents’ insurance plans until they reach 26, even if they’re married and not living at home. HIPAA insists that 13 year old minors manage their meds on their own. So which is it, are we raising 13 year old adults or 26 year old children?

You are still coming to your appointment? Aren't you???

I know times are tough. I know Doctors have been given the shaft. They’re getting squeezed by the government. They’re getting paid less and less by insurance companies. Patients are suing them over mis-diagnosed hang nails. It’s not easy. Believe me, with a husband in the biz, I see the problems within the healthcare industry on a daily basis.

But still, this is ridiculous. Doctors need to suck it up, pull themselves up by their bootstraps, and stop wearing their hearts on their sleeves. Showing your sensitivity and exposing your insecurities may be the ticket for dudes on the prowl, but it’s not an attractive physician feature. So I’m sorry if you docs out there are feeling insecure, but don’t be so obvious about it.

I do realize that people are flaky and often forget about appointments. I think that confirmation calls are a fine way to insure your schedule stays on track and doesn’t end up with holes the size of the Grand Canyon. But what’s with requiring patients to call back and confirm that they received the confirmation call and will actually be at the scheduled appointment? It’s a pain of colossal proportion and I resent it immensely.

I used to joke that my dentist had abandonment issues because he was the only one I knew who participated in this silly double confirmation call policy. I found it annoying albeit slightly amusing. But the practice has caught on and it seems that everyone from the kids’ orthodontist to the chiropractor is requiring patients to call back after receiving their reminder call to reconfirm their intention to show up at their appointment. Really?

It’s kind of like sending a thank you note to a bride for her thoughtful note of acknowledgement over the Lenox place-setting you sent her. It’s like an endless, interminable cycle. And honestly, I don’t have time to call back every friggin’ doctor my kids have appointments with. Look, I took the time to make the appointment. I’m a responsible adult. Have a little faith in me, for gosh sakes.

I know that life is tenable. Relationships are fleeting. Disappointment hurts. But, you can’t live your life worrying that everyone in it is going to let you down. It’s just not…healthy. This kind of cloying neediness is unattractive and I’m telling you, it’s gonna drive people away in the long run.

Trust that you are important and that people will show up at their scheduled appointment times . Believe in your own internal value. You don’t need this kind of redundant external reinforcement. Your good enough. You’re smart enough. And gosh darnit, people like you.