Originally posted by: Acanthus
Originally posted by: Hayabusa Rider
Originally posted by: senseamp
Which is what? That government run health care is not perfect? Don't let perfect be the enemy of good.
This doesn't happen with private insurance. PM your telephone # to me and I'll have her call you if she goes into withdrawal so you can tell her just how lucky she is.
Oh of course it never happens with private insurance.
I just got off the phone with UPMC furious. My uncle takes a persciption to prevent grand mall seizures (epilepsy). He was perscribed a medication in which the dose is very very important to his stability.
A generic drug was released, if you dont already know, generics are allowed to have up to a +/- 20% in actual medicine. The NEUROLOGIST said that he cannot go on the generic. UPMC will not pay for the name brand because a generic has been released. We appeal and pay $404 out of pocket twice for 2 months of medication. Appeal denied. I call them, they tell me to send a letter from the neurologist stating why he needs the name brand. He does so. $404 out of pocket again for a 3rd month. UPMC recieves letter, denied again. Call them... talked to supervisor. After lots of fighting they agree to pay for the medication and retroactively pay for the previous 3 months they denied us. They send us a check for 2 months, $808. We call to ask about the other $404. UPMC says they made an error in sending us the money back, and that they will not pay for his medication.
So back to square 1 we go.
Dont fucking tell me about private insurance. They are arguing with the NEUROLOGIST about what medicaiton he needs.