Originally Posted by
busdriver12
One thing to consider, just in case things don't go your way. What does YOUR research on the alternate medication tell you? What about other doctors, what do they say? How many patients have had adverse reactions, in numbers? Two, or twenty? Some doctors are well rewarded by pushing expensive medications, and it can influence their opinions. Would he pay 10K per year from his pocket for this prescription?
Maybe I didn't explain it well, but the alternate med, the one UHC wants us to use, is the one our pediatrician originally prescribed. We tried it, with poor results. The way I understand it, is if you are in this situation, you must try the med that UHC recommends for a certain amount of time, if it doesn't work, then you can appeal your case. We have already tried the one they want and I won't put my daughter through that again. We explained this to UHC in our appeal. They don't care.