Re: Insurance company rant
From: Joe Cutchin (forcep@intercom.net)
Wed Dec 29 12:09:30 2004
And who pays for the time spent doing this? Certainly not the insurance
company. This says heaps about what our profession has become.
"Allen, Christina R." wrote:
>
> If it isn't a formulary drug though, the patient doesn't get full
> benefit and has to pay out of pocket. So to prevent patients from
> cutting pills in quarters to stretch their supply, it's best to
> prescribe the alternative or covered generic as per insurance company.
> Pharmacists will catch this and give your office a call.
> Chris
>
> "How far you go in life depends on your being tender with the young,
> compassionate with the aged, sympathetic with the striving, and tolerant
> of the weak and strong, because someday in your life, you will have been
> all of these." - Author Unknown
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> ainsron
> Sent: Wednesday, December 29, 2004 12:10 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: RE: Insurance company rant
>
> When I get those types of booklets from insurance companies, they end up
> in
> the circular file next to my desk. I always write what I feel is
> indicated.
> If its not covered and the pharmacist can give me a similar alternative,
> I
> will change, but I'm not working for the insurance company, I'm working
> for
> the patient.
>
> Ronald E. Ainsworth
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna
> Meenan, MD
> Sent: Monday, December 20, 2004 4:27 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Insurance company rant
>
> Sitting here at 6:15PM, finally reading my mail. From Caremark, i got a
> big envelope containing three booklets marked "Primary Drug List",
> "Preferred Drug List", and "Performance Drug List". Inside the first
> two brochures are the following statements :
>
> "Your specific benefit plan design may not cover certain categories,
> regardless of their appearance in this document", and "The drug list is
> not inclusive nor does it guarantee coverage, but represents a summary
> of prescription coverage". This second statement is also on the back of
> the third brochure.
>
> I have no idea what any of it means, or how it is to be used, or why
> there are three different booklets from the same company. You know
> what? I don't care. I'm going home.
>
> Anna Meenan, MD, FAAFP (which now stands for "Fellow of the Acadamy of
> Frustrated Physicians, I think)
>
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