Posted by shar on September 27, 2000, at 14:08:56
In reply to Re:Paxil v Serzone--insurance » stjames, posted by Noa on September 27, 2000, at 11:37:08
When I go to get my Effexor XR refilled, the ins co. won't pay because they say my dosage is too high. I'm on 300 mg. per day which is up there, but not excessive. So, I now always tell the pharmacy they will have to call the ins. co. and get an override so they'll pay.
The first time it happened, the Effexor was going to be $180. It really made me think about people without insurance, or those with crappy policies who end up suffering because some business person(s) decide to 2nd guess the doc.
This is not an HMO. It is good old Blue Cross/Blue Shield here in Texas for State gov. employees.
Another of their antics was AFTER the sign up period was over, they DOUBLED the deductible for MH services (counseling type things). From $250 to $500. So, I could get IN-PATIENT care for $1,000 a day, for up to ??60 days I think. But, to get $200/mo for counseling....forget it.
And, this is a rip-off for my counselor too. I really regret that because she will lower my fee when I have to pay it all. We both deserve better.
Ah, that felt good to get off my chest.
Noa, thanks for those web sites. I am going to write to them.
Shar
poster:shar
thread:216
URL: http://www.dr-bob.org/babble/20000926/msgs/45365.html