Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Has anyone ever been prescribed a medication that their insurance refused to pay for it?

Posted By: Hooked, totally on 2009-02-10
In Reply to:

 NM


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

i refused to go out with doctors
as i sure didn't want to be married to one...(didn't want that lifestyle) but wish you the best!
MIL had trimalleolar fracture last year. She refused to get even temporary tags. (sm)
She doesn't drive and when I took her to appointments, etc. I pulled up in front of the building and kind of illegally parked while I got her inside in a wheelchair. We didn't need the tags and people seemed to well understand the situation.

It was a temporary situation and we used temporary measures.
My OB/GYN prescribed
for me but you have to be careful with this and take it the way it's prescribed because I guess it can cause GI bleed. It works well for me.
Are you prescribed that for a medical
condition or just take it to stay awake. I am just curious...not judging, lol.
Considering 2 of the top 10 drugs prescribed in the USA:
$31 Billion Spent On Top 10 Prescribed Drugs, USA
Total Expenditure: $2.2 billion
Number of persons: 4.5 million
Zoloft
Total Expenditure: $2.1 billion
Number of persons: 4.7 million

Paxil
Total Expenditure: $2.2 billion
Number of persons: 4.5 million


It's quite a different world than previous. I think everyone has one or thing or another/S to be anxious about.
It's out of control, if you ask me. The world, that is.


My doc prescribed Elocon cream

for my dyshidrotic eczema, which really helps alleviate the itching.  I first developed it when I was about to graduate college - a very stressful time - and I had it on both my hands and feet.  The itching was very intense.  I don't really get outbreaks anymore unless I use products that contain tocopheryl acetate - which is vitamin E - and most lotions have that.  I can only use Curel original formula.   Hopefully you can find what triggers yours and get some relief.


My mother was just prescribed a cough
medicine that is $82 and the insurance will not pay as it is not on their formulary. Many are like this. Normally the pharmacy will let you know and if there is an equivalent they will call your doctor and see about getting it changed to something the insurance covers.
According to her, she is on medication
xx
The only medication I am on...
is Chantix, started 1 month ago, and these symptoms preceded that but the dizziness and balance issues may have gotten worse with the Chantix.

I just keep going to the doctor and they keep telling me anxiety. These symptoms basically fell into my lap 3 months or so ago.
Not familiar with medication, but is there some way SM
you can cut it in half or quarters and start out taking a tiny amount, then gradually start taking the entire pill? If you are able to do that, your body will get used to it and you will soon be able to consume entire amount.

Or ask doctor is there is something else to try. Good luck to you.
medication from other countries
Question: does anyone get medication from overseas WITHOUT a prescription? I only take one medication. In a few months, I will run out of Requip, a prescription I take for restless leg. Bottom line - I need 3-5 months more of it WITHOUT going to the doc to get a written prescription. If I go to the doc, my health insurance company(self-employed) won't change me from their high rates next year to lower rates. I will get lower rates by NOT claiming restless leg for 12 months in a row.

***What's the best company to get an overseas medication from WITHOUT a prescription?**** No sermons please, after I get the new lower payment rate, I can go back to the doctor and get written prescriptions again.
medication from other countries
You are right, and that is why I need to find out what is the best reputable pharmacy overseas to get just this one medication, generic Requip, from for ONLY a 3-month time period. After I can my health insurance rate, I will get the medication with a prescription here in the US. So, what's a reputable overseas pharmacy that any of you have dealt with?
natural OTC medication?
Could you tell me what natural OTC medication she is taking? This sounds so much like my 16-year-old daughter. TIA.
Accidnetally took hubs medication
this morning. I take a blood pressure pill and I just took a 40 mg tablet of atenolol he had- thinking it was my armour thyroid. Should I just watch my blood pressure to make it does not dip  too low? I think I will be okay but anyone else done this?
We should use them as test subjects for medication and
I guarantee you start doing some tough punishment and there would be less of that crap going on.
You sound a bit paranoid. Medication
xxxx
medication from overseas pharmacy
(I have a self-employed health plan). What the health insurance company tells me is: At the time of my application for a lower rate (Jan 2010), they will look at all of my doc visits & pharmacy meds for the past 12 months. I have higher priced health insurance only because I have restless leg syndrome and take only ONE medication, generic Requip. I stockpiled my medication and it will not show that I have gotten a prescription refilled or been to the doctor about restless legs for 12 months, so they will place me in the cheapest health insurance rate.

After my cheaper rate goes into effect, I can go back to the doctor - I will be locked into the new cheaper plan for a few years until the health insurance company closes that plan out and I have to reapply to a new health insurance plan.

That will all work, except that I will run out of the stockpiled prescription three months early (I have nine months stockpiled); hence my need to go overseas for just one 90-day prescription to carry me over so it won't be reported to the health insurance company.

So to answer your question, it will be OK with the health insurance company after they have "locked" me into my newer, cheaper health insurance rate. Then I can go back to the doc and the pharmacy, and the health insurance company doesn't care.
Rules about bringing medication to
school are there for a reason. She knew she was not supposed to do it as all of that is explained EVERY school year. In our schools, medications (even aspirin) is kept in the office with a note from a doctor (whether rx or not) and they dispense it.
What do you think of that lash growing medication?
I've seen the commercial but cannot remember the name of the med, but it's for growing lashes.  It may cause (possibly) reversible eyelid darkening and permanent discoloration of the iris.  Would people really want those potential risks and/or side effects?  I mean, you're messing with your sight here.  I've always had long lashes and find them a pain at times - they curl the wrong way and poke your eye and you have to pluck them (ouch), they catch on your glasses, etc.  I can't help but feel that we'll find out 10 years down the road that med cause some kind of cancer. 
My husky Cara had seizures, she was never on medication though - sm
She only had them about every 18 months or so, granted I don't know if she had others when I was at work during the day, at night she slept in our bed with us. I believe the seizures contributed to the shortening her life though. She died days after her 8th birthday (cancer) in 2003. She never bit her tongue either, and the seizure was a few minutes and then after 15 or so minutes she started to get back to normal, but she would usually sleep for a long time after having a seizure. Since your dog's seizures seem to be getting worse I would opt for the medication. If you vet gives you a hard time then you might want to think about going to a different vet. Good luck.
Risperdal is the only medication approved for kids...sm
our 7-year-old has been on this medication for 1-1/2 years and it has been our miracle drug with her. The mood swings are tons better and if she skips a dose we can definitely tell the difference. Some patients do experience weight gain with this or the other bipolar medications. You can get information about bipolar kids from the website bpkids.org. Good luck to you!
Question about taking vitamins with allergy medication
This may sound like a stupid question, but I've never taken allergy medication and now I've got bad allergies. Just took a vitamin C about 10 minutes ago. Is it safe to take an allergy pill (Clariton I think it is) so soon after taking a vitamin, or does it even matter. Again, sorry if that sounds stupid, just not used to taking either and my head/eyes feel like they are going to explode and I'm sneezing and coughing and runny nose, and just feel icky all over but have got to work.
insurance
I live in Upstate NY and I am an IC also.  I found the best way to go (cheapest) is to join a local Chamber of Commerce and buy a plan through them.   They can offer you the best price for health insurance at group rates.  You have to pay an annual fee to the Chamber so that's the only snag, and it pays to check out different Chambers because each one is different with some being cheaper than others. 
need help with car insurance -
Have had State Farm since I was 16 - my house is also State Farm.  Just found out that almost 2 years ago my now 23-year-old daughter who still lives with me got a DUI.  State Farm is dropping us both.  My record is very good - one tiny accident (hit a pot hole and had to have new aluminum wheel) in over 13 years.  If she could live on her own on her salary I would make her - but she can't.  She doesn't drive my car - I think I have asked her to get gas for me on a couple of occasions - and when we go on vacation she might take a turn.  Any ideas?  What will insurance cost me now - any good companies to go with?  HELPPPPPP!!!
car insurance
I have a teenage daughter on my car insurance (thankfully neither of us have ever had an accident). If you're over 50, you can join AARP and then you're eligible for discount insurance through the Hartford. They saved me about $60.00 a month over any other insurance I had previously. If you meet the age requirements, look into it.
insurance

My son had a DUI and the ins was going to cancel us but they said if I only insured myself and my son showed proof of other ins that they'd keep me.  Could this work for you??  Just a thought...


PIP INSURANCE

Everyone who lives in Florida should be aware that the PIP insurance as we know it is soon to expire on 10/1/07.  Please go to the web site http://www.wpbf.com/index.html.  In the center, scroll down a little in the middle is a survery that asks Do you think personal injury protection (PIP) should be eliminated?  Please go on line and vote NO.  Send this email to everyone you know.  We want hundreds of votes.


Also, please send a letter to Governor Charlie Crist,o to Speaker Marco Rubio and Senate President Ken Pruitt.  You can find their email addresses on MyFlorida.com.  It is very important that they add this to their agenda on 6/12/07 for their special session.


 


Thanks for your help. 


Insurance...
I agree with not being able to do that. I cannot get on my boyfriend's insurance because we aren't married but maybe it's state specific or company specific. If they are allowing gay/lesbian couples to ensure their significant others, then allowing ex-spouses or bf/gf to be insured by the other may be possible.
Insurance
Did you start a claim with the existing insurance? This happened to me, I had to do the cobra until my husband's new insurance kicked in, and they accepted the pregnancy not problem. I would call your current carrier and ask curiously. Some insurances dont have a problem as long as there was no gap without insureance. It so happened that the new insurance picked us up in just 30 days and we only paided the cobra for one month. I think when it comes to pregnancy, pre-existing does not apply, as long as there was no gap. Check it out. It was awhile ago for me.
Insurance sm

It sounds like you're a great friend and neighbor!


Our neighbor never gave us their insurance information.  Our situation is a different because in addition to physical scars, our daughter has emotional scars from this dog bite that will take a long time to recover from. 


I did some research on the dog bite law.  Sometimes insurance companies will cancel the homeowners policy if there is a dog bite on the property.  If they don't cancel it, the insurance premium will increase by a lot.  I think this is why they didn't try to go through the insurance company and thought we would accept this small check. 


We believed them when they said they would take care of everything.  I guess we're just too nice!


but you do have insurance, it's the same
I didn't have a job, even though I do.  It's lying.  It's fraud. 
Pet Insurance
I have some pet insurance. It is $17 a month for each dog. I figure, for $200 a year, if the dog lives to be 15 that would be a total of $3000 over the life of the dog. Which can be less than the cost of a single operation.

So I got the insurance. Andy had a minor surgery (removal of keratocanthoma) that came to $600, including $200 to have his teeth cleaned (not covered). After the deductible I got a check from the company for $300. I was pretty happy with that.
insurance

Does insurance cover any of the cost for implaints or dentures?


no insurance
I just got my teeth cleaned and you just call the office and tell them you are uninsured and they offer you a much cheaper rate, they charged me 75 bucks.
how did this become an insurance debate???
I posted simply to relieve some stress and anxiety...sheesh!  THANK YOU to the sincere posters expressing their sympathy...to the rest of y'all who turned MY post into a petty debate...!!!
Health Insurance
Does anyone know where I can get family coverage?  I live in NY and I am taking an IC position.  Thanks
Homeowners insurance ? (sm)
I'm wondering if anyone has heard of this happening.  My niece spilled a small bit of bleach on her carpeting, about the size of a baseball.  The spot is in my brother and SILs living room.  There is also a small spot going up their stairs.  So, they called the place where they got their carpeting (about 3 years ago) to see if there was anyway they could fix it, and they informed them that the homeowners insurance would cover this and that since the carpeting is wall to wall, they should be able to get the entire house re-carpeted.  Does anyone know if homeowners will really pay to have your entire house re-carpeted just for a small bleach spot?  If so, I am going to call about our kitchen floor that has a large scratch on it from our table!! 
Those *studies* were done by insurance --sm
companies who do not want to pay for the workers' comp cases and people that have gotten it. Just another *scam study* so they don't have to pay...just like the Katrina thing...where flooding caused by the hurricane is not covered because it is flooding.
My son's insurance would not pay for Nexium (sm)
but it would pay for Protonix (none of the others worked anymore - Zantac, Pepcid, Prilosec).  He has GERD and Barrett's.  Anyway, he has been taking the Protonix for about 3 years now, and it is still working great!  He never had to go on the Nexium.  But I guess each person might be different.
Health insurance, so not sure.
My copay is the normal amount though, so it may not be too expensive. Our more expensive drugs will have a higher copay. You might see if your doctor has samples, just to see if it will work for you.
This is w/o health insurance either - sm
though ours is cheap (but very, very good). We only pay $140 a month for 4 of us. Of course just about every few months (if not every) something unexpected crops up too, car repair, etc.
insurance scam
this girl is looking for more than just medical expenses, trust me. Same thing, went to hospital and had x-rays, nothing wrong, then all of the sudden, couldn't hardly walk. How do I go about this with absolutely no one knowing it's me who is turning her in?
Insurance Scam
Usually, I am the type of person to pretty much tell you what's on my mind, but hubby doesn't really want me to say anything to her because he is good friends with her hubby and figures if I upset her, then he has to stand by her and that'll end their relationship. With me, it's what you see is what you get and I tell it like it is, maybe that's why this is bothering me so much. I always mind my own business too, but for some reason this is just bothering me more than I should allow. I am fearful of her even coming to our home, falling and getting hurt, then suing us; or even having her in my vehicles now because of what I am seeing - a woman I thought I knew but now see this dark side. She is figuring on going to court if they don't give her what she/lawyer wants and I already told her "not to count on me to testify in her behalf" because I totally am in disagreement with what she is doing". She said nothing to that comment. Hubby figures no way she'll get what she is expecting due to no surgery and it's just a strain, but I have seen people fall in sh__ and come out smelling like a rose, and she is one of them. I agree with other poster, she has turned in all claims to private insurance so maybe they'll check into that. They already asked to access past medical records and lawyer said no, that it has nothing to do with this, but that was early on right after accident. I am not afraid to say something to her, I am just not sure if I should, especially since my hubby really doesn't want me to. He cannot even stand her anymore and they used to be fairly close and tease each other as being bf and gf; that's how close we were. Also, secretary is my neighbor - go figure. We just leave that subject alone when together. I don't know what I am going to do, if anything, and I think you are right, I just need to address this issue directly with her because it's not in my nature to talk behind someone's back like this. I only have 1 face and do not particularly like myself for talking about her like this, though until now, I have only talked about it with my hubby. Thanks for all your advice.
Homeowner's insurance
Just a heads up depending on where you live in the NE. I live on Cape Cod and the insurance companies have almost all pulled out of this area because supposedly we are due for a big one some day. Even though I live 7 miles from the ocean, my company dropped me, and I had to go on the state-sponsored insurance program. My insurance is now $2000 on a $350,000 home with a $2500 deductible which does not include wind damage. That has a different deductible based on percentage of damage, maybe 1%? Can't remember right now. It's not that expensive compared to Florida, but we haven't even bit hit by a big hurricane. They just think we MIGHT be some day.
So you are saying you do not like insurance companies????
 Belly 
Medicare is first insurance
Any of the insurance  plans I have seen only go to age 65 even if you are working.  They might work hand in hand with Medicare as your supplement but this is often expensive unles your employer continues to pay for it.   They will use Medicare as the primary  and your other insurance as the secondary.  
We pay nothing on Hubs insurance
so then this is next year for me although retirement age not actually until 67 for me. Drats- was wanting to stay on his PPO, no cost to us and really good covering all. I have until March of next year to contact them now.
I have hepatitis C and my insurance is thru him (nm)
x
Are you sure you have the traditional insurance?

You won't believe the number of providers who try to balance-bill their contracted HMO patients.



Have you called your insurance company to see what you really are responsible for? If you have the old type of health insurance and the provider is a participating member, you may be responsible for 20% of the usual and customary (U&C) and not the entire billing charge.


How are you feeling? You sure don't need medical bills on your mind, all you should be thinking of is getting better. And, as the other poster stated, as long as you are making payments, you should be OK. Just don't let them talk you into a large monthly payment. Be honest with yourself and agree with what YOU can afford.


As for extra help, it depends on where you live. Are you the only person working in your household? You might not like the idea, but you might need assistance from your state.....this is nothing to be embarrassed about. It is your right as a US citizen. Go for it!


You have already gone through one nightmare, at this time you don't need a provider pressing you for more money then they already have received. Sure, they are due their money, but they are due their fair share. Hospitals and even some doctors overcharge so much! Why don't you request an itemized bill...then go over it with a fine tooth comb. You might just find some charges that were added to your bill by mistake.

 

Get well!

cobra insurance q

i have the option to have cobra insurance but have not done so.  As luck would have it now i am sick.  If i call tomorrow and pay for the cobra insurance will they cover me if I go to the doctor the next day? is there a waiting period or pre-existing condition clause? TIA


Did insurance cover this or how much?
nm