Guest guest Posted September 2, 2004 Report Share Posted September 2, 2004 Hi , Although we didn't band our daughter (we chose repositioning only,) I have read many posts about insurance denying coverage. I find this outrageous. However, many parents have fought and fought, and appealed and appealed, and won. I have a few questions for you that might help group members tailor help for you. What is the reason that your insurance company won't cover the band? Does your policy specifically exclude coverage? Does it not cover the particular brand of band you'd like to use? Is there a certain requirement of a degreee of severity required before they will cover the band? What insurance do you have? Maybe someone here has fought them and won. We have a large section of sample letters appealing denials of coverage in the files/insurance help folder, and some links that might help in the links/insurance folder. What state are you located in? Maybe there is a financial help program available to you. Sometimes actually getting a copy of the detailed coverage handbook from the insurance company can provide you more information than phoning customer service, etc. As far as paying for bands/helmets, I have read that some facilities have payment plans. Also, bands can range in price from about $1000 to $3500.... depending on where you live, we might know of a different brand option that is cheaper, but you'll have to be very proactive in ensuring that the ortho is experienced and talented in banding. Other parents received financial help from family, or used credit cards, loans, etc. I don't know if these options are available to you, but I'm just throwing it out there! The CappsKids website has a nice step-by-step of the insurance approval process and appeal process at their website: http://www.cappskids.org/PlagioInsuranceHelp.htm I hope we are able to help; so many group members have a lot of experience dealing with insurance problems covering the band/helmet, so I hope they post with some additional ideas. Take care, Christie (Mom to Repo'd Remy) > Hello everyone, > > I have a problem, my insurance company wont pay for my son's helmet. > Does anyone else have this problem? I can't affod spending $3000 and > I don't know what to do. Any suggestions? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2004 Report Share Posted September 2, 2004 Hello, Christie offered excellent advice. First find out why they denied coverage. Then you can figure out how (or if) you should appeal or whether you need to explore other options. Let us know why you were denied and maybe we can help. Good luck to you and your son. Dianna (Mom to -getting band 9/13) Plagiocephaly , " redlocks2003 " <redlocks@i...> wrote: > Hi , > > Although we didn't band our daughter (we chose repositioning only,) > I have read many posts about insurance denying coverage. I find > this outrageous. However, many parents have fought and fought, and > appealed and appealed, and won. I have a few questions for you that > might help group members tailor help for you. > > What is the reason that your insurance company won't cover the > band? Does your policy specifically exclude coverage? Does it not > cover the particular brand of band you'd like to use? Is there a > certain requirement of a degreee of severity required before they > will cover the band? What insurance do you have? Maybe someone > here has fought them and won. We have a large section of sample > letters appealing denials of coverage in the files/insurance help > folder, and some links that might help in the links/insurance > folder. What state are you located in? Maybe there is a financial > help program available to you. Sometimes actually getting a copy of > the detailed coverage handbook from the insurance company can > provide you more information than phoning customer service, etc. > > As far as paying for bands/helmets, I have read that some facilities > have payment plans. Also, bands can range in price from about $1000 > to $3500.... depending on where you live, we might know of a > different brand option that is cheaper, but you'll have to be very > proactive in ensuring that the ortho is experienced and talented in > banding. Other parents received financial help from family, or used > credit cards, loans, etc. I don't know if these options are > available to you, but I'm just throwing it out there! > > The CappsKids website has a nice step-by-step of the insurance > approval process and appeal process at their website: > http://www.cappskids.org/PlagioInsuranceHelp.htm > > I hope we are able to help; so many group members have a lot of > experience dealing with insurance problems covering the band/helmet, > so I hope they post with some additional ideas. > > Take care, > > Christie (Mom to Repo'd Remy) > > > > > > > Hello everyone, > > > > I have a problem, my insurance company wont pay for my son's > helmet. > > Does anyone else have this problem? I can't affod spending $3000 > and > > I don't know what to do. Any suggestions? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 4, 2004 Report Share Posted September 4, 2004 I'm so sorry to hear this . Christie gave you great advice. It is going to take alot of work on your part but it'll be worth it when you get that denial overturned. I was one of the ones that had to write a letter, send reference articles, AND meet at an internal appeal mtg to win our case. My letter to my HMO is in the files/insurance help folder on this site (Independent Health) but I " borrowed " wording from another available letter there. You can shorten it if your reason for denial is very specific. Everything can be found here or on the links for you to use. Please let us know how it goes and best of luck. Sue Colin F. 11 mos. brachy Starband 6/29 (9 wks) Buffalo, NY > Hello everyone, > > I have a problem, my insurance company wont pay for my son's helmet. > Does anyone else have this problem? I can't affod spending $3000 and > I don't know what to do. Any suggestions? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 I am once again having problems with my insurance company, Golden Rule. Our premiums are very high, but we are stuck. Now they are saying that they are reviewing Dr. Goldberg's treatments to determine if it is " investigational treatment " . Anyone have any experience with this? We have to fill out new claimant statements and authorization forms, and I am afraid to fill them out for fear I will not phrase something correctly. They have been paying on this for 5 years, and now they contest it? It seems to me that they have set a precident. Thanks for any help anyone can offer. Barb Barb Katsaros barbkatsaros@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2008 Report Share Posted November 6, 2008 Hi Barb. You need to check with Dr Goldberg on anything you fill in on those forms - perhaps have him complete it. Basically, it WILL be classified as investigational treatment, even if you can prove immune deficits, etc. If it were the top CFIDS experts in the world treating CFIDS, the meds would still be classified as investigational treatment. Once they decide that, likely the only thing that will be paid is SSRIs (if they do that, or did you max out mental health benefits?). Only with the clearest changes to labs (pretty unsual/rare in these kids) would you have a chance at showing a chronic infection of any kind, because there are no mainstream guidelines yet for managing this. Until the CFIDS community gets an antiviral approved for the treatment of CFIDS, we are stuck under the label of " investigational " , regardless of it's success. I am so sorry. ________________________________ From: Barb Katsaros <barbkatsaros@...> nids Sent: Wednesday, November 5, 2008 11:53:24 PM Subject: insurance problems I am once again having problems with my insurance company, Golden Rule. Our premiums are very high, but we are stuck. Now they are saying that they are reviewing Dr. Goldberg's treatments to determine if it is " investigational treatment " . Anyone have any experience with this? We have to fill out new claimant statements and authorization forms, and I am afraid to fill them out for fear I will not phrase something correctly. They have been paying on this for 5 years, and now they contest it? It seems to me that they have set a precident. Thanks for any help anyone can offer. Barb Barb Katsaros barbkatsaros Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2008 Report Share Posted November 6, 2008 I agree with you regarding the precedent. Is this a PPO plan? If Dr. G is one of their preferred providers, I don't see how they can contest this. Do your labs bear out HHV6 infection (I know some don't because the virus hides)? I'm guessing the two biggest issues with the insurance company would be the labs every two months and the high cost of antivirals. These insurance companies tick me off. We're fighting ours right now due to prescriptions that were erroneously paid out of an old HMO policy we had last year. We moved to a PPO with the same company, but the company neglected to move the RX portion of the policy so it was billed correctly. Now they want us to pay for all the scrips (somewhere in the neighborhood of 10k). All because of their clerical error. Good luck with this. You may want to call and ask for verbiage or some sort of statement justifying treatment. They must've gone through this before. Robyn > From: Barb Katsaros <barbkatsaros@...> > Subject: insurance problems > nids > Date: Wednesday, November 5, 2008, 9:53 PM > I am once again having problems with my insurance company, > Golden Rule. Our premiums are very high, but we are stuck. > Now they are saying that they are reviewing Dr. > Goldberg's treatments to determine if it is > " investigational treatment " . Anyone have any > experience with this? We have to fill out new claimant > statements and authorization forms, and I am afraid to fill > them out for fear I will not phrase something correctly. > > They have been paying on this for 5 years, and now they > contest it? It seems to me that they have set a precident. > > > Thanks for any help anyone can offer. Barb > > Barb Katsaros > barbkatsaros@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2008 Report Share Posted November 6, 2008 Hi, Barb. If you get this situation resolved, please let us know how you did it or what Dr. G's office said. This may be a problem we all have as insurance companies tighten their belts. We have four out of our five family members on the protocol. Luckily, we have the labs to back up HHV 6 infection, but since their doesn't seem to be a standard of care in regard to this virus, I suppose any treatment could be considered investigational. The precedent argument may be the way to go. They tacitly agreed to the treatment by paying for it for 5 years. Please let us know what happens. All the best, Robyn > From: Barb Katsaros <barbkatsaros@...> > Subject: insurance problems > nids > Date: Wednesday, November 5, 2008, 9:53 PM > I am once again having problems with my insurance company, > Golden Rule. Our premiums are very high, but we are stuck. > Now they are saying that they are reviewing Dr. > Goldberg's treatments to determine if it is > " investigational treatment " . Anyone have any > experience with this? We have to fill out new claimant > statements and authorization forms, and I am afraid to fill > them out for fear I will not phrase something correctly. > > They have been paying on this for 5 years, and now they > contest it? It seems to me that they have set a precident. > > > Thanks for any help anyone can offer. Barb > > Barb Katsaros > barbkatsaros@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2008 Report Share Posted November 6, 2008 Sometimes Dr. G puts " allergies " and/or " immune system dysfunction " on my son's superbill. Do insurance companies generally pay for those? Kristy From: [mailto: ] On Behalf Of Robyn & Greg Coggins Sent: Thursday, November 06, 2008 10:32 AM Subject: Re: insurance problems Hi, Barb. If you get this situation resolved, please let us know how you did it or what Dr. G's office said. This may be a problem we all have as insurance companies tighten their belts. We have four out of our five family members on the protocol. Luckily, we have the labs to back up HHV 6 infection, but since their doesn't seem to be a standard of care in regard to this virus, I suppose any treatment could be considered investigational. The precedent argument may be the way to go. They tacitly agreed to the treatment by paying for it for 5 years. Please let us know what happens. All the best, Robyn > From: Barb Katsaros <barbkatsaros@... <mailto:barbkatsaros%40> > > Subject: insurance problems > nids <mailto:nids%40> > Date: Wednesday, November 5, 2008, 9:53 PM > I am once again having problems with my insurance company, > Golden Rule. Our premiums are very high, but we are stuck. > Now they are saying that they are reviewing Dr. > Goldberg's treatments to determine if it is > " investigational treatment " . Anyone have any > experience with this? We have to fill out new claimant > statements and authorization forms, and I am afraid to fill > them out for fear I will not phrase something correctly. > > They have been paying on this for 5 years, and now they > contest it? It seems to me that they have set a precident. > > > Thanks for any help anyone can offer. Barb > > Barb Katsaros > barbkatsaros@... <mailto:barbkatsaros%40> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2008 Report Share Posted November 6, 2008 Hi, , Thanks for your advise. I did forward it all to Dr. Goldberg. They have been covering this for 6 years now. Wouldn't that be setting a precident? This is just so unfair. We maxed out on the ssri's. They only allow 500 per psychological meds. So that really stinks. We don't get coverage for budiprion or ssri's . I don't understand why they would not have questioned this before. Take care. Barb Barb Katsaros barbkatsaros@... From: <thecolemans4@...> Subject: Re: insurance problems Date: Thursday, November 6, 2008, 8:55 AM Hi Barb. You need to check with Dr Goldberg on anything you fill in on those forms - perhaps have him complete it. Basically, it WILL be classified as investigational treatment, even if you can prove immune deficits, etc. If it were the top CFIDS experts in the world treating CFIDS, the meds would still be classified as investigational treatment. Once they decide that, likely the only thing that will be paid is SSRIs (if they do that, or did you max out mental health benefits?). Only with the clearest changes to labs (pretty unsual/rare in these kids) would you have a chance at showing a chronic infection of any kind, because there are no mainstream guidelines yet for managing this. Until the CFIDS community gets an antiviral approved for the treatment of CFIDS, we are stuck under the label of " investigational " , regardless of it's success. I am so sorry. ____________ _________ _________ __ From: Barb Katsaros <barbkatsaros> nidsgroups (DOT) com Sent: Wednesday, November 5, 2008 11:53:24 PM Subject: insurance problems I am once again having problems with my insurance company, Golden Rule. Our premiums are very high, but we are stuck. Now they are saying that they are reviewing Dr. Goldberg's treatments to determine if it is " investigational treatment " . Anyone have any experience with this? We have to fill out new claimant statements and authorization forms, and I am afraid to fill them out for fear I will not phrase something correctly. They have been paying on this for 5 years, and now they contest it? It seems to me that they have set a precident. Thanks for any help anyone can offer. Barb Barb Katsaros barbkatsaros Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2008 Report Share Posted November 7, 2008 Hey Barb - I don't know what would have triggered an audit, other than they may periodically scan for investigational treatments. I would be concerned about filing more claims right now, that there could be a possibility that they would take back previous payments. I hate to even say that, but it would be possible. Hopefully they would not go back if they decided to reject future claims. So are they basically just paying for antifungals, antivirals and allergy meds?   (Have you researched a supplemental HSA policy?) ________________________________ From: Barb Katsaros <barbkatsaros@...> Sent: Thursday, November 6, 2008 9:35:33 PM Subject: Re: insurance problems Hi, , Thanks for your advise. I did forward it all to Dr. Goldberg. They have been covering this for 6 years now. Wouldn't that be setting a precident? This is just so unfair. We maxed out on the ssri's. They only allow 500 per psychological meds. So that really stinks. We don't get coverage for budiprion or ssri's . I don't understand why they would not have questioned this before. Take care. Barb Barb Katsaros barbkatsaros From: <thecolemans4> Subject: Re: insurance problems groups (DOT) com Date: Thursday, November 6, 2008, 8:55 AM Hi Barb. You need to check with Dr Goldberg on anything you fill in on those forms - perhaps have him complete it. Basically, it WILL be classified as investigational treatment, even if you can prove immune deficits, etc. If it were the top CFIDS experts in the world treating CFIDS, the meds would still be classified as investigational treatment. Once they decide that, likely the only thing that will be paid is SSRIs (if they do that, or did you max out mental health benefits?). Only with the clearest changes to labs (pretty unsual/rare in these kids) would you have a chance at showing a chronic infection of any kind, because there are no mainstream guidelines yet for managing this. Until the CFIDS community gets an antiviral approved for the treatment of CFIDS, we are stuck under the label of " investigational " , regardless of it's success. I am so sorry. ____________ _________ _________ __ From: Barb Katsaros <barbkatsaros> nidsgroups (DOT) com Sent: Wednesday, November 5, 2008 11:53:24 PM Subject: insurance problems I am once again having problems with my insurance company, Golden Rule. Our premiums are very high, but we are stuck. Now they are saying that they are reviewing Dr. Goldberg's treatments to determine if it is " investigational treatment " . Anyone have any experience with this? We have to fill out new claimant statements and authorization forms, and I am afraid to fill them out for fear I will not phrase something correctly. They have been paying on this for 5 years, and now they contest it? It seems to me that they have set a precident. Thanks for any help anyone can offer. Barb Barb Katsaros barbkatsaros Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2008 Report Share Posted November 7, 2008 Typically they will. ________________________________ From: Kristy Nardini <knardini@...> Sent: Thursday, November 6, 2008 12:55:28 PM Subject: RE: insurance problems Sometimes Dr. G puts " allergies " and/or " immune system dysfunction " on my son's superbill. Do insurance companies generally pay for those? Kristy From: groups (DOT) com [mailto:groups (DOT) com] On Behalf Of Robyn & Greg Coggins Sent: Thursday, November 06, 2008 10:32 AM groups (DOT) com Subject: Re: insurance problems Hi, Barb. If you get this situation resolved, please let us know how you did it or what Dr. G's office said. This may be a problem we all have as insurance companies tighten their belts. We have four out of our five family members on the protocol. Luckily, we have the labs to back up HHV 6 infection, but since their doesn't seem to be a standard of care in regard to this virus, I suppose any treatment could be considered investigational. The precedent argument may be the way to go. They tacitly agreed to the treatment by paying for it for 5 years. Please let us know what happens. All the best, Robyn > From: Barb Katsaros <barbkatsaros <mailto:barbkatsaro s%40. com> > > Subject: insurance problems > nidsgroups (DOT) com <mailto:nids% 40groups. com> > Date: Wednesday, November 5, 2008, 9:53 PM > I am once again having problems with my insurance company, > Golden Rule. Our premiums are very high, but we are stuck. > Now they are saying that they are reviewing Dr. > Goldberg's treatments to determine if it is > " investigational treatment " . Anyone have any > experience with this? We have to fill out new claimant > statements and authorization forms, and I am afraid to fill > them out for fear I will not phrase something correctly. > > They have been paying on this for 5 years, and now they > contest it? It seems to me that they have set a precident. > > > Thanks for any help anyone can offer. Barb > > Barb Katsaros > barbkatsaros <mailto:barbkatsaro s%40. com> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2010 Report Share Posted February 11, 2010 Is it that they don't cover T shots or they just need justification? I have MedCo.... no, not happy with them, but they are typical for an " insurance " company. MedCo makes my doctor submit a justification form for Testim and for Cialis.... probably many other items as well. You should call MedCo and get the real scoop. You can also go online and predetermine your coverage. Their website can be difficult to use at times but if you have your member ID it's a good place to get answers. medcohealth.com > > My company recently switched health insurance companies. The new prescription card is from Medco. My old insurance covered testosterone injections but my new insurance doesn't. How does this work? They don't seem to cover any testosterone injections. Has anyone else experienced this with Medco? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2010 Report Share Posted February 11, 2010 I don't understand why they wouldn't cover it. I went to the website and it says its not covered by my plan. I guess my company didn't get the low testosterone plan. Its not its that expensive but it just irritating. I really don't want to contact ny HR depatment and ask them why they don't cover my nuts. > > > > My company recently switched health insurance companies. The new prescription card is from Medco. My old insurance covered testosterone injections but my new insurance doesn't. How does this work? They don't seem to cover any testosterone injections. Has anyone else experienced this with Medco? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2010 Report Share Posted February 12, 2010 Hi, they probably require justification and make it difficult to do so. insurance companies have whole departments who's sole job is to deny anything even slightly out of the ordinary. some don't cover " lifestyle " drugs... like viagra... but... the new daily cialis is also used to treat certain circulatory issues... so they'll initially deny it out of hand and hope you don't come back on them. same with test... if it's for ED it's a " lifestyle " drug... if it's for wasting syndrome, depression, etc. it's OK. if you can get the blood work done (I get most of mine done at department of endocrinology at the medical school I used to work at... really cheap) is just easier to go the international pharmacy route. what's the legal US price for arimidex for example? 2500iu of HCG (if you can find it)? a 10ml bottle of 200mg cypionate? the only one of those you take ANY risk on is the test... and it's pretty low risk unless you're ordering HUGE amounts... 3 bottles from where I get mine is about 160$ and that's over a year's supply... with my insurance by prescription at 20$/month so in the US it's 240$... arimidex is 40$/month (for 4 pills)... hcg probably the same... ADC and my super secret (widely known and respected) BB source actually saves money over going to the local pharmacy and handing them a script and my prescription card. and it's all delivered to my mailbox. > > > > My company recently switched health insurance companies. The new prescription card is from Medco. My old insurance covered testosterone injections but my new insurance doesn't. How does this work? They don't seem to cover any testosterone injections. Has anyone else experienced this with Medco? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2010 Report Share Posted February 12, 2010 I have Medco and it's a bitch dealing with them I just got through getting my HGH, HCG and Testosterone approved by them. I sent in a script they called me saying it's not covered. I asked for a supervisor found out they need to send paper work to the Dr. to fill out so the med is approved do this. Co-Moderator Phil > From: mikerizzo2007 <mikerizzo2007@...> > Subject: Re: Insurance problems > > Date: Thursday, February 11, 2010, 10:38 PM > I don't understand why they wouldn't > cover it. I went to the website and it says its not > covered by my plan. I guess my company didn't get the > low testosterone plan. Its not its that expensive but > it just irritating. I really don't want to contact ny > HR depatment and ask them why they don't cover my nuts. > > > > > > > > My company recently switched health insurance > companies. The new prescription card is from > Medco. My old insurance covered testosterone > injections but my new insurance doesn't. How does this > work? They don't seem to cover any testosterone > injections. Has anyone else experienced this with > Medco? > > > > > > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2010 Report Share Posted February 12, 2010 When you call Medco you get a rep. reading a PC screen like it was the work of GOD. Ask for a Suppressor they will send paper work to your Dr. to prove you have Hypogonadism and get it approved. Co-Moderator Phil > From: mikerizzo2007 <mikerizzo2007@...> > Subject: Insurance problems > > Date: Thursday, February 11, 2010, 9:04 PM > My company recently switched health > insurance companies. The new prescription card is from > Medco. My old insurance covered testosterone > injections but my new insurance doesn't. How does this > work? They don't seem to cover any testosterone > injections. Has anyone else experienced this with > Medco? > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2010 Report Share Posted February 27, 2010 Medco originally rejected my prescription for Androgel until my doctor wrote to Medco with supporting tests for my condition. Basically, he appealed their decision by supporting my need for the medication based on test results. Maybe they are just being difficult because of the expense and the fact its a controlled medication. Maybe they have an alternate medication? Its worth a try. They will respond to you in writing why they rejected your prescription. Good Luck, Bob V. > > My company recently switched health insurance companies. The new prescription card is from Medco. My old insurance covered testosterone injections but my new insurance doesn't. How does this work? They don't seem to cover any testosterone injections. Has anyone else experienced this with Medco? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2010 Report Share Posted February 27, 2010 I have to use Medco now was using Caremark my Co. requires my Dr. to apply for an Approval of some of my meds Testosterone shots and HGH every HCG. It's a pain in the As* what they do now. Using Medco I fine the need to call my Union Rep. on every refill they approved my Testosterone and HCG along with HCG Novarel but my cost went up. My plain says I get a 90 days supply but what do they do they send my 10 ml. vials of Test C for 90 days I am 66 yrs old and have Carpal Tunnel and can't hold this small vial and get the oil out easy I do a .4 ml. shot every 3 days and I get the first shot out but he next one is very hard I need to pull the needle back out to get the oil would and my hand falls to sleep. I can't get the rest out so 2mls. is wasted. I take to them about this they talked to the people higher up and call me back telling me this is what my Dr. ordered. WTF do they think was are stupid I sent the scrip in I seen he ordered a 10 ml. vial of 200mgs/ml Test C. I feel they got a deal on this crap and they are shipping it and don't care what the script says. On my HGH my Dr. wrote the scrip for 2 box's of 6 mgs I do a .3 mgs shot everyday so some is left over it is only good for 28 days after mixing. So what so they do they send me one box every 22 days and my cost that should be a co pay of $20 for a 90 supply this is way my Co uses them but no they send me on box telling my I only can get a month supply on HGH so because of my dose they send me one box every 22 days for $20 this sucks. Now my Novarel it use to cost me $20 for 3 box's now they tell my it's not a generic so my cost is $50 for a 90 days supply that is not a generic any more. How can this be I called Ferring the people that dis. it and they tell me the don't use the lab here in the USA any more and they get it made in Canada so now it's not a generic. WTF again the new Novarel is not the same it's about 6x's stronger then the HCG that was made here so how dose the FDA let this happen. And my Dr. and others that use the brand are having the same problem it's going straight into Estradiol. My levels shot way on using this new stuff. My Dr. told me every time he gives a script to someone they call him trying to tell him how to treat his people he is seeing. And he says they are getting away with it because they are so big. Co-Moderator Phil > From: robert_vetcher <robert_vetcher@...> > Subject: Re: Insurance problems > > Date: Saturday, February 27, 2010, 12:18 PM > Medco originally rejected my > prescription for Androgel until my doctor wrote to Medco > with supporting tests for my condition. Basically, he > appealed their decision by supporting my need for the > medication based on test results. Maybe they are just > being difficult because of the expense and the fact its a > controlled medication. Maybe they have an alternate > medication? Its worth a try. They will respond to you > in writing why they rejected your prescription. >         >    Good Luck, Bob V. > > > > > My company recently switched health insurance > companies. The new prescription card is from > Medco. My old insurance covered testosterone > injections but my new insurance doesn't. How does this > work? They don't seem to cover any testosterone > injections. Has anyone else experienced this with > Medco? > > > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
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