Living with Diabetes

I need some insurance help…

Written by

kathleen

in

My insurance plan uses Medco (which I’ve blogged about in the past), to manage our prescriptions and their costs.  I’ve also blogged some about my problems with gastric reflux disease.

Basically, my gastric reflux is out of control, and the only medication that comes close to solving the problem is Protonix.  In December, I got a letter telling me that Protonix was no longer in our formulary.  Well, Friday I got a letter telling me that they would no longer cover Protonix AT all, and that they would only covered omeprazole or Nexxium. 

How do I go about fighting this?  Right now, I’m double dosing on Protonix and last night I was up with GERD.  I’ve tried double dosing Nexxium and it almost but not quite does the job.

I know I need to control my food better in the evenings, but it is flat out difficult between the diabetes and the stress I keep going though.

I’m hoping someone reading this can give some help.

Comments

6 responses to “I need some insurance help…”

  1. Stella Avatar
    Stella

    I’m having the same problem with my medication that is no longer on their formulary. AND…there is NO ALTERNATIVE for the medication I take. I want to fight them as well. Have you received any bright ideas?

    Reply
  2. Stella Avatar
    Stella

    I’m having the same problem with my medication that is no longer on their formulary. AND…there is NO ALTERNATIVE for the medication I take. I want to fight them as well. Have you received any bright ideas?

    Reply
  3. Linda Vornheder Avatar
    Linda Vornheder

    Have you tried asking your physician to write a letter of medical necessity?

    Reply
  4. Linda Vornheder Avatar
    Linda Vornheder

    Have you tried asking your physician to write a letter of medical necessity?

    Reply
  5. disgruntled Avatar
    disgruntled

    I hate medco. I am switching to kaiser at the beginning of the year. Every time I have to deal with those jerks I get the same monotone answer regardless of what the situation is. I think its time to report them to the insurance boards

    Reply
  6. disgruntled Avatar
    disgruntled

    I hate medco. I am switching to kaiser at the beginning of the year. Every time I have to deal with those jerks I get the same monotone answer regardless of what the situation is. I think its time to report them to the insurance boards

    Reply

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