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

No Jerry, I don't think you understood. There are 3 endos in my area 
(Peoria, IL). I go to one who has an office with another one and they 
stopped being a part of that insurance plan. The 3rd endo has his own office 
and he is still connected with the plan. When I was refused the option of 
using my current endo we did call the insurance co. and told them how I had 
gone to the other one and how unscrupulous he was (he ran a zillion tests 
every time you went in and charged a fortune and had absolutely no 
personality) it didn't matter. They still refused to pay for my present 
endo. Actually, the one who is still on the plan is the one who actually put 
me on the pump and then left me stranded because he then told me that to get 
me regulated he would put me in the hospital on a glucose monitor, but I 
would have to pay for it since he would make me go to a hospital that was 
not on the insurance plan. Yes, we told the insurance this too, as well as 
sending in a formal complaint. I also found out from MiniMed that he had 
ordered my pump several weeks before I even told him I would get it. Go 

Sue (dalgal)

----Original Message Follows----
From: "Jerry Power" <email @ redacted>
Subject: Re: [IP] Re: Humalog being refused by insurance??
Date: Thu, 27 Dec 2001 19:30:59

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!

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