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Re: Lupron Cost / Insurance

From: Holly (anonymous@obgyn.net)
Sun Feb 28 11:26:18 1999


Rebecca,

I haven't been following all the emails regarding insurance and lupron, etc., but just read this one and it got my attention. I am currently taking continuous bcps, but was considering taking Lupron a few months ago. At that time I investigated my insurance company's policy. I am a grad student with the student health plan at the university. We don't have a prescription plan, but we do have a pharmacy where we can get discounted meds. The insurance company considers Lupron to be a prescription, not a treatment and therefore it would not be covered if I decided to take it, although there are ways of protesting this. Even though you can protest it I was told that it probably would not be covered by the insur. company. In addition, our student pharmacy has only a limited number of drugs available which do not include Lupron and several other drugs that I take for endo pain (Darvocet, Trilisate). Until I started having my endo pain a year ago I thought it was a pretty good health plan, but it's not. Unfortunately most students have similar health plans at all universities; they are good as long as you're not sick! I find this terribly frustrating. So many young women are probably suffering because they are receiving care from such organizations. I look forward to graduation and the possibility of a job just so I can shop around for a better health plan.

Good luck with your article; let me know if I can clarify any of what I wrote. Holly

On Fri, 26 Feb 1999, Rebecca de Velder wrote:

> Lori- this is why I am inspired to do my 40 page paper for Law and Society on
> this exact topic, because I take Depo for Endo and I am not covered EVEN WITH A
> DOCs note, and I wonder how many other women out there have the same experience,
> how they feel about it and what we can do about it, would you be willing to
> respond to an email survery if I post it to the list? Any of you?
> Rebecca
> Holland, MI, USA
>
> Melissa Thomas wrote:
>
> > It is because men run insurance companies. The religious right also does
> > not want birth control or abortion to be available. We must all right our
> > congressmen and women and tell them our problems. RU-486 is a possible
> > treatment for endo. Because of its association with abortion no
> > manufacturer will touch it because they don't want to incur the wrath of the
> > anti-abortion groups. It is also a possible treatment for brain cancer.
> > Anyway, the longer we sit idle, and not let our voices be heard, things will
> > continue. If we all join together we can make a difference.
> >
> > Melissa
> >
> > -----Original Message-----
> > From: Ddudaann@aol.com [SMTP:Ddudaann@aol.com]
> > Sent: Friday, February 26, 1999 8:25 AM
> > To: Multiple recipients of list
> > Subject: Re: Lupron Cost / Insurance
> >
> > Rebecca,
> > I don't understand why insurance companies will cover VIAGRA for men (to
> > help
> > them get it up) and they won't cover Birth Control pills! They'll pay for
> > us
> > to have kids but not for us to not have them! Or for those of us (like
> > myself) who have to take them for Endo why won't they pay for that but they
> > pay for a guy to take VIAGRA! Mine is a medical problem and getting up is a
> > personnel problem that doesn't cause as many problems as Endo. Why won't
> > they
> > cover medical prescriptions for "women" problems and then cover
> > prescriptions
> > for men for "male" problems?!
> > Sorry, it just really makes me mad.
> >
> > Lori
> >
>




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