Originally Posted by
Quint
One of my kids has a prescription that they take every day. Been on it for a couple of years. It has been covered by United and costs $20 a month. Went to get it filled last month and pharmacist says United is no longer covering this medicine. New cost - $850.00. So this prescription just went from $240 per year to over $10,000!
United basically says they believe that another medication is better. Thing is, our doctor had previously tried that medicine with very poor results, bad side effects, etc. We have written an appeal to UHC. They responded telling us to go pound sand. Basically, that they know what's better for my kid than her doctor and parents.
Anybody have any experience with this? Are there any avenues of relief I can explore with either the company or DALPA?
Thanks
This not only happens with prescriptions,but also with procedures.Had 3 different independent drs say I needed a certain procedure-uhc pencil pusher knows better and denies each time.