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Re: [IP] Merk-Medco

> She has had the hardest time with her insurance.  They say
>     diabetic
> supplies go through Merk Medco, but Merk-Medco says they don't carry
> pump supplies.  She then went through her durable medical, but can
> not order through a medical supply warehouse.  It's like catch 22!

The problem is really that she is not demanding that the insurance 
company live up the letter of the "contract of insurance". It is the 
insurance companies obligation to provide a suitable vendor that is 
in network. If not, they must allow her to purchase outside the 
network at in network coverage rates and co-pays. She needs to 
escalate the problem to the appeals level or above to get results. 
What the insurance companies count on is that their subscribers will 
be too meek or too worn out to do this -- thus they don't have to 
pay. It's the same old song -- be a pest, be a pest, be a pest. Dont' 
take no for an answer.
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