Sunday, February 12, 2012
Tuesday, November 10, 2009 Melissa asks

Q: Insurance woes

Does anyone have trouble with insurance companies determinating how much medication you may recieve even if your doctor has perscribed you more for your migraines?

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11/10/09 9:26pm

Yes, Melissa, lots of us have had this issue!

 

I am still fighting, two years later, with my former insurer over having paid out of pocket for part of an Imitrex pack, three times when they suddenly decided the limit was four per month.

 

Teri Robert did something like calling insurance companies and accusing them of practicing medicine without a license or (when they say their reviewing doctors made the decision) of malpractice in prescribing for a patient they have not even seen. I am going to be researching and writing an artilce on the legality of this insurance practice, and what to do about it, shortly. For now, I'd suggest getting a doctor's letter explaining why you need the full number of meds, appealing your insurance company decision, and threatening to report them to your state insurance commissioner. The insurer is not your doctor and has no business pretending it is!

 

Good luck! Let us know how you make out!

- Megan

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