mik3cap: (Default)
mik3cap ([personal profile] mik3cap) wrote2004-09-13 01:10 pm

Fuck You HMO Blue

Because you know, PAIN is cosmetic and not covered.

100 bucks for a shampoo sized bottle of cream.

Assholes.

[identity profile] jessnut.livejournal.com 2004-09-13 11:20 am (UTC)(link)
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.

[identity profile] mikecap.livejournal.com 2004-09-13 11:24 am (UTC)(link)
Maybe I can call her and ask her about filling out forms...

HMO Blue forms

[identity profile] vlvtjones.livejournal.com 2004-09-13 11:41 am (UTC)(link)
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.