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Re: [IP] Re: Humalog being refused by insurance??



Sue,

About your doctor not being covered by your HMO, this is a common trick 
pulled by the HMO's to not pay for specialists.  In most states, Texas for 
example, the HMO must either add an endo for your condition or pay full 
coverage for your current doc.  Call the HMO and verify their terms and 
conditions for medical conditions requiring a specialist.  Good Luck!


>From: "sue depinto" <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: Re: [IP] Re: Humalog being refused by insurance??
>Date: Thu, 27 Dec 2001 15:40:52 +0000
>
>I have not had trouble with insulin, but I have with  othe medications.
>When I was prescribed lipitor, my insurance said I had to get zocor
>unless I had my doctor write a letter saying that I had to have lipitor.
>We let it go, but my husband bugged them enough that they finally
>admitted to having an "agreement" (kick-back) with the drug company! The
>same goes for doctors. We are on a HBO plan, and when my endo dropped
>them, we now have to pay the full bill for him since there is another
>endo in my area on the plan, even though I had my intern call them for a
>special referral it was denied.
>
>Sue (dalgal)
>
>email @ redacted
>
> >From: email @ redacted
>
> >Subject: [IP] Re: Humalog being refused by insurance??
> >Date: Thu, 27 Dec 2001 09:34:14 -0500
> >Has anyone else experienced their insurance company's attempting to
>switch
> >insulins?? I'm steamed!!
>
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