jujube
SF VIP
My doctor wants me to go on a medication. My Blue Cross pharmacy provider denied it. The doctor made an appeal, very eloquently. Blue Cross denied it again. I appealed it; they denied it a third time. The pharmacist said, well, let me see if we can get the manufacturer to help you with that, because they do quite often when it's too expensive (which it is). And then he said, oh, no, you have pharmacy insurance, so you can't get help from the manufacturer.
I said, well yeah but they denied it. Apparently that doesn't matter....as long as you have insurance, the manufacturer won't help you. So, if I didn't have insurance, they'd help me. But because I DO have insurance, even if they deny it and won't pay for it, the manufacturer won't help me. He did say he'd look for other programs that might help. Nothing so far.
That's the way it goes. They have what they call "affordable housing, etc" but you have to be too poor to actually afford the "affordable" rent. And you have pharmacy insurance but they won't pay for stuff.
Arrrgggghhhh!!!
Back to the drawing board.
I said, well yeah but they denied it. Apparently that doesn't matter....as long as you have insurance, the manufacturer won't help you. So, if I didn't have insurance, they'd help me. But because I DO have insurance, even if they deny it and won't pay for it, the manufacturer won't help me. He did say he'd look for other programs that might help. Nothing so far.
That's the way it goes. They have what they call "affordable housing, etc" but you have to be too poor to actually afford the "affordable" rent. And you have pharmacy insurance but they won't pay for stuff.
Arrrgggghhhh!!!
Back to the drawing board.