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UPS Retirement Topics
Medical, scripts pharmacy, behavioral health insurance out of pocket, all on same page?
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<blockquote data-quote="twoweeled" data-source="post: 2225875" data-attributes="member: 27108"><p>Is anyone else going through this? retirement deductibles are (per individual) $200 and $1000 out of pocket total between Medical, Pharmacy and behavioral health. </p><p>Every time I call pharmacy or medical, only medical has the correct numbers. Pharmacy claims not to be updated. <strong><em><u>I have met $200 deductible and the $1000 out of pocket.</u></em></strong> Medical is aware of it. Medical no longer charges me any co pays because I've met the $1,000 out of pocket. Pharmacy continues to charge. Pharmacy at one time claimed to show I had paid the $1000 out of pocket, but I still had to meet the $200 deductible!! I asked how that was possible, and was told that's what their screen shows. They said they'd put an inquiry and get updated. No update for over a month. finally after numerous calls, they claim they are updated. At that time, pharmacy showed $200 deductible met, and the $1000 out of pocket met. I asked about getting my $200 deductible back (I paid the $200 deductible again to pharmacy), as well as some of my copays back. Pharmacy told me, while I should not have paid the $200 deductible or some copays, they didn't know how to get the money back to me. That was about 5 weeks ago. I called to day, because they are still charging me copays. </p><p>NOW PHARMACY SAYS IT SHOWS I PAID <strong><em><u>$400</u></em></strong> as an individual, but <strong><em><u>only $509</u></em></strong> towards my out of pocket. So I still had to pay co pays!</p><p>They are going to initiate another inquiry for an update. </p><p></p><p>What a joke for retiree insurance. As anyone else met the $1000 out of pocket? I hope I'm the only one.</p></blockquote><p></p>
[QUOTE="twoweeled, post: 2225875, member: 27108"] Is anyone else going through this? retirement deductibles are (per individual) $200 and $1000 out of pocket total between Medical, Pharmacy and behavioral health. Every time I call pharmacy or medical, only medical has the correct numbers. Pharmacy claims not to be updated. [B][I][U]I have met $200 deductible and the $1000 out of pocket.[/U][/I][/B] Medical is aware of it. Medical no longer charges me any co pays because I've met the $1,000 out of pocket. Pharmacy continues to charge. Pharmacy at one time claimed to show I had paid the $1000 out of pocket, but I still had to meet the $200 deductible!! I asked how that was possible, and was told that's what their screen shows. They said they'd put an inquiry and get updated. No update for over a month. finally after numerous calls, they claim they are updated. At that time, pharmacy showed $200 deductible met, and the $1000 out of pocket met. I asked about getting my $200 deductible back (I paid the $200 deductible again to pharmacy), as well as some of my copays back. Pharmacy told me, while I should not have paid the $200 deductible or some copays, they didn't know how to get the money back to me. That was about 5 weeks ago. I called to day, because they are still charging me copays. NOW PHARMACY SAYS IT SHOWS I PAID [B][I][U]$400[/U][/I][/B] as an individual, but [B][I][U]only $509[/U][/I][/B] towards my out of pocket. So I still had to pay co pays! They are going to initiate another inquiry for an update. What a joke for retiree insurance. As anyone else met the $1000 out of pocket? I hope I'm the only one. [/QUOTE]
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