I have a new insurance. My copay for my HIV meds went from $30 to $200 a month. Fortunatly, I have the Atripla Copay Card and the drug company pays my copay! So, I figured all was well...until I received a letter in the mail, from my new insurance company...stating that I had to use their mail-order pharmacy... So, once again..thinking alright...I prefer my neighborhood pharmacy...the main reason, is....I work there...and the other, I like knowing where my meds are coming from...and knowing the people filling my prescriptions... I called the Insurance company to give them the secondary insurance information and was informed that they were unable to process the copay card...and I would be required to pay for the meds upfront and then request remimbursement from the copay card...I was angry...said a few choice words... to which they replied...APPEAL... I was given fax number and address for which I would need to send a letter of appeal~So that I could continue using my pharmacy. Prior to calling, I called the Copay Card place to find out the actual process so I could include it in the letter of Appeal. The Process, would be pay for meds... call copay card place... wait 7-10 days to recieve a reimbursment card... Fill out the card... mail it in... wait 4-6 weeks for the check, upon approval... Big freaking Hassle... so, I wrote the letter...and faxed it to the insurance company...and within 10 minutes, the Appeal office called me for more info...and 20 minutes after that, I was approved to continue using my pharmacy!!! And, I found out that I shouln't have been make to go through all of this, that the Mail-in pharmacy (medco) should have authorized this, in house... I am so happy that I called and stated my needs!!! People do listen!!! Don't be afraid to voice your needs... Voice them with confidence and facts... leave the whining to the wine... LOL
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