Unicorn. Posted February 18, 2011 Share Posted February 18, 2011 PSA- don't get the flu twice within 180 days, or you may have to pay for Tamiflu out of pocket. At least that's what Blue Cross has decided. Gee, I'm sorry my son got the flu again. Two weeks ago it was type A, today he tested positive for type B. But Blue Cross wouldn't pay for the meds. So I just shucked out $114 out of my pocket. Two weeks ago we had to meet the deductible, so we paid for most of that one too. Someone tell me why I bother having insurance again. Arrrrgggg! :banghead: Quote Link to comment Share on other sites More sharing options...
NoPlaceLikeHome Posted February 18, 2011 Share Posted February 18, 2011 :grouphug: I would try to appeal after the fact. Your doctor's office may be able to help:) Quote Link to comment Share on other sites More sharing options...
secular_mom Posted February 18, 2011 Share Posted February 18, 2011 You mean you didn't learn your lesson the first time? You went and let him get sick again!? Shame on you. (stupid insurance companies) Quote Link to comment Share on other sites More sharing options...
AlmiraGulch Posted February 18, 2011 Share Posted February 18, 2011 Well clearly it's your own fault. I'm sure you intentionally got the flu twice. It's only logical. (That really, really sucks. :sad: ) Quote Link to comment Share on other sites More sharing options...
Unicorn. Posted February 18, 2011 Author Share Posted February 18, 2011 I'm thinking I might. Walgreen's called the doc right away to see if he could change the prescription to something else, but he didn't call them back. Grrrrr- again. Quote Link to comment Share on other sites More sharing options...
Anita in NC Posted February 18, 2011 Share Posted February 18, 2011 Well that sucks. Don't get me started on stupid insurance companies, I'm still ranting from the bill I got this morning for meds. :mad: Quote Link to comment Share on other sites More sharing options...
LisaKinVA Posted February 18, 2011 Share Posted February 18, 2011 Appeal away... my insurance company just received a nice, thick packet :D I already have the next level in the "outline" stage, but everyone is pretty confident we've pretty much nailed them to the wall on this one. There are too many experts, and overwhelming, peer-reviewed, documented research supports my treatment as non-cosmetic. Best wishes. I'm not sure how they could get away with that. Maybe it's a coding error? Quote Link to comment Share on other sites More sharing options...
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