Fuck You HMO Blue

[mik3cap]

Because you know, PAIN is cosmetic and not covered.

100 bucks for a shampoo sized bottle of cream.

Assholes.

Comments

Next time...

[griffytime.livejournal.com]

1.Ask for MORE samples!
2.The doc should know what's covered under your plan, or not. Alternative script may have been covered.
3.Call your BX rep and bitch about it....nothing cosmetic going on here.

Number 3 is my fav! :)

[dharleenk.livejournal.com]

i just went through the same thing with my dental insurance. they won't cover an "office visit" to the dentist (when they coated a painful tooth with polymer). like i chose to go to the dentist on my lunch break just for shits & giggles. jerks.

[jessnut.livejournal.com]

Treatment of pain is in fact covered by insurance. However, you need your treating doctor to fill out a set of forms for the says that the pain is directly caused by the illness, is treatable, and is temporary. So medication for pain from illness and injury are covered, but cronic pain (like arthritis or carpal tunnel) is not.

Your doctor should have explained all of this to you before writing the perscription, at the very least telling you what would and would not be covered.

Pain is only cosmetic when it doesn't have a definable cause or solution.

[mikecap.livejournal.com]

Maybe I can call her and ask her about filling out forms...

HMO Blue forms

[vlvtjones.livejournal.com]

What your MD needs to fill out is a drug prior authorization form. You need to supply to your MD the name and telephone number of your pharmacy, and the pharmacy's BCBS provider number (your pharmacist has that #). The MD's office fills out the paperwork and you are either accepted or denied coverage. If you are denied, there has to be something similar that is covered in their drug formulary.

I'd also call the drug company and tell them you have a prescription, and see if they'll send you samples or a coupon for the drug.

[harrison-ripps.livejournal.com]

100 bucks for a shampoo sized bottle of cream.

Why did the Adam Sandler song "Medium Pace" suddenly spring to mind?

[drama-kween.livejournal.com]

Because you're a perv?

[bonisagus.livejournal.com]

That's okay you could have Aetna then going to the doctor for an annual physical would be considered cosmetic and not covered.