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BCBS is denying coverage

12 Posts
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sterile
(@sterile)
Estimable Member
Joined: 4 years ago
Posts: 69
Topic starter   [#29337]

Insurance question, and the plan document contradicts what the counter told me.

Everything the practice holds is optimised for the practice, not for you. Download it twice a year.

Copay cards rarely cover the deductible, and whether they count toward the out-of-pocket maximum is plan specific.

The phone log is the part people skip. Date, time, name, what was said, reference number.

A clinician note carries more weight in the record than a patient request, so ask them to write it.

Anyone else had this in the last year?



   
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ashflame8
(@ashflame8)
Active Member
Joined: 3 years ago
Posts: 8
 

Same here.



   
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notcharlotte
(@notcharlotte)
Noble Member
Joined: 2 years ago
Posts: 1847
 

You have two changes at once here. You cannot attribute anything until one of them moves.



   
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Alex
 Alex
(@alex)
Noble Member
Joined: 2 years ago
Posts: 1841
 

Reference ranges differ between labs, so comparing two reports is close to meaningless.



   
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Green_Thumb
(@green_thumb)
Famed Member
Joined: 2 years ago
Posts: 3260
 

Access to mugs should be on the clinical questionnaire.



   
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calgal
(@calgal)
Noble Member
Joined: 2 years ago
Posts: 2009
 

You are not imagining it and you are not being difficult. Document it and take the document in.



   
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Green_Thumb
(@green_thumb)
Famed Member
Joined: 2 years ago
Posts: 3260
 

My pharmacist has become my actual doctor and I am at peace with it. Side effects was my main issue with a prior authorisation too.



   
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4legsgood
(@4legsgood)
Noble Member
Joined: 1 year ago
Posts: 1995
 

It gets smaller. Not easy, smaller. That distinction kept me going. How long have you been on a prior authorisation?



   
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OakLatch
(@oaklatch)
Active Member
Joined: 3 weeks ago
Posts: 5
 

Sorry for the basic question, but how do you actually start one of these diaries? Not on a prior authorisation but the pattern is familiar.



   
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jasperhelm69
(@jasperhelm69)
New Member
Joined: 4 years ago
Posts: 1
 

Is it normal to feel worse before better? Nobody told me that.



   
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iris_jet
(@iris_jet)
Active Member
Joined: 5 years ago
Posts: 10
 

Is it normal to feel worse before better? Nobody told me that.



   
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willowyeti57
(@willowyeti57)
Active Member
Joined: 2 years ago
Posts: 9
 

Same here.

A fortnight in on a prior authorisation and it lines up.



   
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