Posted by emmanuel98 on December 7, 2010, at 20:15:46 [reposted on December 9, 2010, at 20:57:34 | original URL]
In reply to Re: Claim Denied For Lexapro » bleauberry, posted by ed_uk2010 on December 7, 2010, at 15:00:34
Bleauberry - The problem here isn't big government health plans. The problem is that the Medicare drug plans are run by small insurance companies that all have different formularies. If you start out with one plan that covers a drug you use, then need a different or new drug, it may turn out that that new drug isn't in the insurance company's formulary. If the drug plan had been added, instead, to normal Medicare, the problems and confusions would be much reduced. Also under the Part D drug plan, Medicare is forbidden from negotiating prices with drug companies, leaving the negotiating to these hundreds of (relatively powerless) drug insurers, who, rather than negotiate at a disadvantage, just drop expensive drugs from their formularies.
poster:emmanuel98
thread:973037
URL: http://www.dr-bob.org/babble/poli/20090821/msgs/973041.html