Re: Preciption Coverage Change without out knowled... - Page 2

cheriere · ‎12-01-2023

@I am still oxox I'm so very sorry to hear you're going through this with your prescription insurance. I recently had the exact same thing happen. I received a letter in November letting me know I'd have to pay a little extra and to call if I wanted to keep the same insurance or I'd be assigned a different one. I called immediately after but somehow they claimed it was mishandled and I was disenrolled.

I would have been just like you at the pharmacy not knowing had it not been for a fluke that I decided to call. That's when I was told this information in early January. After 3 hours on the phone, I was able to re-enroll but this coverage won't go into effect until February 1st. Until then, I'm supposed to use this other insurance. However, I have to go through the trouble of having ALL my expensive meds that require approval all re-approved etc. It's really been a nightmare.

I really hope and pray everything goes well for you and there's no disruption in receiving any of your medications. I don't know what's going on with these plans this year, but it's causing a lot of people much unnecessary stress. If I can help in any way please just let me know. ❤️

I am still oxox · ‎03-09-2010

@cheriere thank you and everthing was resolved within a few days it was just annoying and I am glad I saw the letter. Otherside I would of been in for a big suprise

@cheriere wrote:
@I am still oxox I'm so very sorry to hear you're going through this with your prescription insurance. I recently had the exact same thing happen. I received a letter in November letting me know I'd have to pay a little extra and to call if I wanted to keep the same insurance or I'd be assigned a different one. I called immediately after but somehow they claimed it was mishandled and I was disenrolled.

I would have been just like you at the pharmacy not knowing had it not been for a fluke that I decided to call. That's when I was told this information in early January. After 3 hours on the phone, I was able to re-enroll but this coverage won't go into effect until February 1st. Until then, I'm supposed to use this other insurance. However, I have to go through the trouble of having ALL my expensive meds that require approval all re-approved etc. It's really been a nightmare.
I really hope and pray everything goes well for you and there's no disruption in receiving any of your medications. I don't know what's going on with these plans this year, but it's causing a lot of people much unnecessary stress. If I can help in any way please just let me know. ❤️

Stop being afraid of what could go wrong and start being positive what could go right.

cheriere · ‎12-01-2023

@I am still oxox Thank goodness! It broke my heart for you whenever I first saw your post. I thought, Oh No, this is happening to someone else here now. I'm really glad everything is straightened out for you.😊❤️

Effie54 · ‎09-08-2010

@cheriere wrote:
@Effie54 I just wanted to let you know about my pharmacy trip today. I'm soooo THANKFUL!!! Whenever I got there to pickup my two prescriptions, including the one that cost over a thousand dollars, they were both covered! I couldn't believe it! I paid under $10 for the two of them. Either my dr really was on the ball and got this other company to pay or it automatically covered it!

What a load this has taken off my mind...at least for the meantime. Now, I'm wondering if I should stay with the coverage Medicare assigned lol. I did receive a letter in the mail from my old insurance carrier today. It said the coverage wouldn't go into effect until February 1, but I still didn't receive a bill or instructions how to pay.

@cheriere I'm so happy that your part D carrier paid for your prescriptions! That must have been a huge relief! That's a good question; whether to keep what carrier they assigned you, or go back to your previous carrier. Here's what I might try; I would either look up the prescriptions on the new part D carriers formulary to see if your prescriptions will be covered from here on in, or if it was a one time courtesy. Then I would look at the price per month difference between the one they assigned you and your old carrier. I know for me, UnitedHealthCare was wayyyy more than Aetna. I was glad I dropped UHC. They were a royal pain to deal with. Aetna customer service is amazing. You want to be sure which ever part D carrier you choose covers your monthly prescriptions at the very best rate, with the lowest copayments possible. I think that's how I would choose. I'm so glad you had a good experience at the pharmacy. 💖

cheriere · ‎12-01-2023

@Effie54 Boy was I relieved! You wouldn't believe the stress that simple thing seem to take off my mind. You give very good advice. I was thinking along those lines.

I'm gonna go through the medication coverage book they sent this weekend. Monday I'll call my drs office and ask whether or not they had to get the medication authorized and what the company had to say. Then, I'll call the insurance company and find out about each medication that required approval from the other company. I do know this new comp only charges a maximum of around $5 for brand name medication...but many might require approval. Like you said, this could have been a courtesy fill today.

I have to remember to find out each yearly deductible as well too. I don't want to end up switching back to my old plan only to end up paying more for everything lol. I'll be so glad to have all this sorted out and behind me. But tonight I'm gonna catch up on reading here in the forum and maybe watch a movie. I've not been able to read much here in the last couple days and I feel as though I've missed out on all kinds of good conversations 😃.

I can't thank you enough for being so kind, helpful and supportive to me during all this. It really means a lot to me. 😊❤️💕

Effie54 · ‎09-08-2010

@cheriere wrote:
@Effie54 Boy was I relieved! You wouldn't believe the stress that simple thing seem to take off my mind. You give very good advice. I was thinking along those lines.

I'm gonna go through the medication coverage book they sent this weekend. Monday I'll call my drs office and ask whether or not they had to get the medication authorized and what the company had to say. Then, I'll call the insurance company and find out about each medication that required approval from the other company. I do know this new comp only charges a maximum of around $5 for brand name medication...but many might require approval. Like you said, this could have been a courtesy fill today.

I have to remember to find out each yearly deductible as well too. I don't want to end up switching back to my old plan only to end up paying more for everything lol. I'll be so glad to have all this sorted out and behind me. But tonight I'm gonna catch up on reading here in the forum and maybe watch a movie. I've not been able to read much here in the last couple days and I feel as though I've missed out on all kinds of good conversations 😃.

I can't thank you enough for being so kind, helpful and supportive to me during all this. It really means a lot to me. 😊❤️💕

@cheriere You're so very welcome. I'm happy to help. You're right - the deductible is also something to consider. When you get all the info from the doctor's office and insurance companies, it will be easier to decide which carrier is best. It's hard to keep getting approvals for medications as well. But a $5.00 co-payment is pretty good. We're here for you anytime. 💖