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How to appeal for medication
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<blockquote data-quote="ManInBrown" data-source="post: 4759155" data-attributes="member: 46614"><p>Not exactly. They might cover it, but just because the Dr. says you need that specific med, it could still be denied. I’ve actually talked to my Dr about this. They can recommend to insurance that you need that specific med, there’s no guarantee insurance will go along with it. They don’t have to. I currently take a med that there is no generic option for. Years ago I used to take another medication that was much cheaper, that one stopped working and my Dr put me on the new one. I’m waiting for the hammer to drop and insurance to say they’re not covering it anymore. It’s $1100.00 for 90 pills. The generic I used to take was $60 for 90 pills. These insurance companies are so shady. They actually tried to go behind my back and contact another one of my doctors, that has nothing to do with this med, to see if I can go back to the cheaper medication. Insurance companies are the biggest pieces of sheet. No problem taking anyone’s money.</p></blockquote><p></p>
[QUOTE="ManInBrown, post: 4759155, member: 46614"] Not exactly. They might cover it, but just because the Dr. says you need that specific med, it could still be denied. I’ve actually talked to my Dr about this. They can recommend to insurance that you need that specific med, there’s no guarantee insurance will go along with it. They don’t have to. I currently take a med that there is no generic option for. Years ago I used to take another medication that was much cheaper, that one stopped working and my Dr put me on the new one. I’m waiting for the hammer to drop and insurance to say they’re not covering it anymore. It’s $1100.00 for 90 pills. The generic I used to take was $60 for 90 pills. These insurance companies are so shady. They actually tried to go behind my back and contact another one of my doctors, that has nothing to do with this med, to see if I can go back to the cheaper medication. Insurance companies are the biggest pieces of sheet. No problem taking anyone’s money. [/QUOTE]
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How to appeal for medication
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