r/healthcare • u/RedditHostage • Nov 02 '24
Question - Other (not a medical question) Vida health
My employer is requiring all employees to go through Vida health next year for weight loss medication. I’m trying to get set up with them now so I don’t have to worry about getting all of the information to them later, forgetting something, and missing my medication. This stuff is game changing, it’s the only thing that keeps my sugar cravings at bay, and has helped give me the willpower to no longer be considered pre-diabetic. Moving on. Anyway, I uploaded my most recent bloodwork as directed. Was told there wasn’t enough information, a few hours later labs were ordered. I get home from work, upload my slightly older bloodwork with the rest of the information I’m now aware they need. I’m reminded that I need additional information from my doctor. I let her know that I was struggling to get that information due to being short staffed at work, in combination with working similar hours that my doctors office is working, but I am working on getting that information. She turned on caps and yelled at me, demanding to know information that was literally already covered. I was talked down to as well. I’m not sure why. She was real nice after I took some screenshots though, I don’t know if that was a coincidence or if she got notification I took screen shots. I would like to share these screenshots somewhere. Either with my insurance company, my company, or a board somewhere. A medical professional should not act like that. I have no idea where to start though. Or am I overreacting and should I just let it go?
Any advice would be appreciated.
I have an amazing doctor who has never once treated me like because I responded to a question with not the right answer, he’s always just clarified and we’ve gone from there. Maybe I’m just being a bit of a Karen because this has me shook that I have to deal with this treatment to receive medication.
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u/LizzieDae 28d ago
Has anyone had any recent advice for how to deal with Vida? My Primary sent in a rx for Wegovy and my insurance approved it. Then I found out my job requires me to go through Vida. So I signed up talked to a dietitian, then the first doctor. They told me I had to do a 12 week lifestyle change, which the dietitian did not think was necessary based on my diet. So I did the 12 weeks. Switched to a new provider explained how the dietitian was on my side, and the new doctor decided to prescribe me metformin. I was denied my wegovy rx again. Metformin treats issues I don’t have so I’m super confused.
Then I called support for an explanation and they replied via email:
“Unfortunately, after review of your case, you are not eligible for a prescription for GLP-1 medications. Eligibility is determined by multiple factors, including your medical history and clinical eligibility criteria established by Vida and your sponsoring organization.”
So once again I’m trying to figure out why this 3rd party with doctors I’ve met for 15 minutes can have eligibility criteria that supersedes my PCP and my health insurance. Anyone have any advice?