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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsJust found out Walgreens turned away someone trying to get their vaccine.
Last edited Mon Aug 2, 2021, 06:01 PM - Edit history (8)
I had been on this person to get their vaccine forever and they finally made an appointment to get their first shot; however, when they went to Walgreens, they were told that they didn't accept their insurance and could not give them a shot and they would have to go somewhere else. Nowhere in the appointment-making process did they notify this person that they did not accept their insurance or that insurance would even be required. Is what this Walgreens did customary or not?
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EDIT 1.0: Since I am getting a lot of replies that they think the person is lying, I will go ahead and edit my original post to explain that he is not. He sent me a screenshot of his appointment and a pic of the Walgreens he went into it. I called the Walgreens myself and asked the person that answered why she turned him away because I was very pissed. She said that they did not take his insurance and that he would have to go elsewhere because giving him the vaccine as an "uninsured" person would be committing insurance fraud.
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EDIT 2.0: And for those that would say "they can't talk about patient information with someone else, you must be lying!!1!" that is not the case either. When I called and angrily asked why someone would be turned away in such a situation, they actually thought I was the person that had just been turned away. I told them I was not and then they explained that it was their policy (see the first edit for their explanation why).
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EDIT 3.0: Some people helpfully recommended that I speak with my county's health department. I found that my city has its own health department, so I called them and spoke with someone that said -- and lord knows I'll be accused of lying yet again after this, but yet again, it most certainly happened -- that they also were turned away from Walgreens because they did not accept their insurance, but that they were upfront about it when she made the appointment. I told her that I understand her personal experience, but are they allowed to legally do what they did, and she said that the state does not handle stuff like that and instead I would need to go to a higher authority like the CDC...? That sounded a little suspicious, because you would think the state most certainly would have jurisdiction over pharmacies operating in their state.
I then called the CDC and spoke with a very helpful representative. She read to me the information provided at this link: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/no-cost.html The seemingly relevant part to this particular situation is where it says that "COVID-19 vaccination providers cannot deny vaccination to anyone who does not have health insurance coverage, is underinsured, or is out of network." Judging by this guidance from the CDC, it does sound as if the Walgreens location was in the wrong. The CDC representative said that I cannot report an issue like this to them directly, but instead referred me to my state's department of health, which would then escalate it to the CDC if appropriate. I am off to call them next.
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EDIT 4.0: I called my state's department of health like the CDC representative suggested. It was a bit of a mess. The first phone number I was given, I was transferred several times and eventually told that this phone number was a "resources only" line and that I would need to call a different number. The second phone number I was given, they told me that they mainly scheduled appointments and did not handle complaints; they gave me a phone number, which ended up being the first phone number that I called. I called them back, they transferred me around for awhile, and then I eventually ended up at my state's board of pharmacy (?) where they said that they do take complaints, but the investigator that I should talk to was out for the day and that I should leave a message. I told him a little about my situation and asked him to call me back to see if the situation warrants filing an official complaint through them.
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EDIT 5.0: Per the advice given by some in this thread, I emailed a local news reporter about my situation and I'm awaiting a response. I also called another local Walgreens and they said that even if you are out-of-network, you should still be able to get your vaccine there. I then called the specific Walgreens in question to try and find out who was working the pharmacy when I called there last night. They told me it was "a floater" and that she did not normally work there; I asked them for her name, and they told me her name was Sandra. I asked if there were any other employees that would have been picking up the phone and they said no. I asked them if it was proper protocol for them to turn away the person from getting the vaccine and they said NO, IT WAS NOT APPROPRIATE. Therefore, you can bet your ass I will be doing whatever possible to make sure this person is held accountable. Who knows how many other people she has turned away from getting the vaccine because she was either wrongly instructed or, worse, intentionally misleading people.
onecaliberal
(32,852 posts)Patterson
(1,529 posts)onecaliberal
(32,852 posts)It is free.
KewlKat
(5,624 posts)At our first shot I made it clear we had insurance, but that the shot was advertised as free and I would, and did not, provide insurance info. i'd never been to that pharmacy before, ever. So nothing on file either.
Captain Zero
(6,805 posts)I know we are in Indiana.
Jose Garcia
(2,595 posts)obamanut2012
(26,068 posts)Period.
Deminpenn
(15,286 posts)nt
Grins
(7,217 posts)You get a reaction to the vaccine that requires hospital care- thats on you. I got my Pfizer shots via Fairfax County (Virginia) and INOVA. Page 1 of the application Do you have insurance?
I had Medicare and supplemental so I had no problem. I dont know what they do if the response is No.
cinematicdiversions
(1,969 posts)I said no because I couldn't really be bothered to pull out my insurance card and fill out forms. (Drive through shots) no one cared.
obamanut2012
(26,068 posts)Skittles
(153,160 posts)sooo not true
LisaL
(44,973 posts)Vaccines should be free.
W_HAMILTON
(7,864 posts)Dr. Strange
(25,920 posts)Renew Deal
(81,856 posts)At a state run site.
Demobrat
(8,976 posts)I asked if insurance would be billed and they said no, it was for informational purposes only.
This was in CA.
ProfessorGAC
(65,010 posts)All we needed was a copy of the 3D barcode assigned to us, and some legal form of ID. I gave them my driver license. Same with everybody I know.
Texasgal
(17,045 posts)I provided my insurance info, got my shot and moved on outta there with no other issues.
durablend
(7,460 posts)And they get billed for it if you have it.
KewlKat
(5,624 posts)medicare and some other company.
durablend
(7,460 posts)Demovictory9
(32,454 posts)processed. I call insurance, saying no recent medical visits... they told me that was my pfizer vax being processed through my insurance...
I don't recall giving anyone info on my insurance when making appt for the vax
Dr. Strange
(25,920 posts)Maru Kitteh
(28,340 posts)The vax is free.
Walgreens FAQ on the COVID vaccine.
https://www.walgreens.com/topic/promotion/covid-vaccine.jsp?ext=gooFY21_COVID+Vaccine_Brand_BMMCOVID_Brand_COVID+Vaccine_BMM_%2Bdoes%20%2Bwalgreens%20%2Bvaccine%20%2Bfor%20%2Bcovid&gclsrc=aw.ds&gclid=CjwKCAjwjJmIBhA4EiwAQdCbxnRNFmSjvAVr3NYxgTFW9tdyYI-SFlDToiYPoXyvYkWBzLnCLz1FpBoCHL0QAvD_BwE
W_HAMILTON
(7,864 posts)And I called them myself to have them explain.
They said that they didn't accept his insurance and that he would have to go elsewhere and that they couldn't simply just give him one of the "free vaccines" because it would be committing insurance fraud if they marked him as no insurance when he had insurance.
My friend also said that the pharmacist was wearing her mask down below her nose, so I wouldn't be surprised if she was some Trumper just trying to discourage people from getting the vaccine.
Either way, I called corporate Walgreens and lodged a complaint. I will see what they say when they are supposed to email me back in 24-48 hours.
Treefrog
(4,170 posts)No proof of insurance required.
W_HAMILTON
(7,864 posts)...and was turned away their as well because they apparently do not accept walk-ins (once again, he sent a screenshot showing a banner hanging up in the store that said "APPOINTMENT REQUIRED. NO WALK-INS."
LisaL
(44,973 posts)NT
W_HAMILTON
(7,864 posts)Their website and commercials say that walk-ins are accepted; they apparently are not, at least not at this location.
Ms. Toad
(34,069 posts)The current CVS website has an asterisk by the walk-ins, which indicates walk-in appointments are subject to vaccine availability.
W_HAMILTON
(7,864 posts)No such asterisk.
There may be one buried somewhere in there on another page, but that is what greets people looking for a vaccine: "COVID-19 services available: Vaccinations (walk in or schedule today)." No asterisk.
Ms. Toad
(34,069 posts)There's an asterisk there attached to ; scroll down to the bottom of the page for the explanation - the second asterisk:
W_HAMILTON
(7,864 posts)...which was my point. Furthermore, the asterisk you are referring to isn't even applicable in this situation: the in-store location has a banner that says that they do not accept walk-ins PERIOD -- you have to make an appointment.
Ms. Toad
(34,069 posts)in that particular area to justify opening up a multi-vaccine vial.
In other words vaccine is only be available when there is a reasonable chance that the vial can be used fully used. In areas where there is a regular stream of walk-ins that may be on a daily basis. In areas where there are few walk-ins vaccine may not be available for walk-ins at all because of the need to use a full vial (rather than opening a vial for a single walk-in). If vaccines are scheduled for a specific narrow range of time, they can guarantee they are not throwing out vaccine. It would be perfectly reasonably to make vaccine available only in a way that they aren't wasting large quantities of it just to accommodate an occasional walk-in.
As for information about vaccines - I would expect it to be on the page dedicated to vaccines, not on the front page.
W_HAMILTON
(7,864 posts)...you can't simply "walk in and get your vaccine" as many of these national chains have happily claimed.
Never would I have thought at this point, with everyone claiming the vaccines are abundant and they are looking for arms to put them in, that someone I know would be turned away from TWO separate big chains on the same day once I finally got him to go and get his vaccine. That should not be happening. I was told that one of the reasons these national chains were used was because they would be better able to handle the logistics of these particular vaccinations -- apparently not, at least not around where I live.
I went to a doctors' office to get my vaccine and, boy, am I glad I did so after hearing about his experience with Walgreens and CVS.
Ms. Toad
(34,069 posts)The idea was that, when insurance was available, it would be billed (since the government should not be paying, when a private entity has an obligation to). When it isn't, the government would pay. Early on, most pharmacies asked for insurance, but didn't hassle you if you didn't have any, or didn't provide the info. Aside from the initial request for info, the insurance was invisible to the patient. (I didn't get an EOB for mine, for example.). Since it wasn't processed like a normal claim, that's why you are getting so many "insurance is not involved" responses. It's also why Walgreens response is absurd, since it should have been processed through whatever backdoor mechanism they are using for these.
CVS doesn't bother me. I would have gone to the vaccination-specific page to find the details, and then called to see if walk in was available. (Actually, I probably would have gone through their website to see if i could make a same-day appointment - since they have a pretty easy interface. My assumption is that walk-in is the exception, rather than the rule.
BradAllison
(1,879 posts)For either the vax or a test.
Treefrog
(4,170 posts)Sorry, you can get a vaccine even at Walmart now.
Zeitghost
(3,858 posts)The pharmacy discussed this with you directly? That doesn't sound right. I can't imagine a pharmacy discussing the insurance status of a customer or details regarding who they have or have not given vaccines too and the reasons for doing so with a 3rd party.
W_HAMILTON
(7,864 posts)I subsequently told them I was not.
Furthermore, I didn't ask for specific details, I just asked about their general policy as to why someone would be turned away in such a case.
Please, I know that there are a lot of people that lie on the internet, but this is not one of them. Everything I said is true and my friend did get turned away from getting the vaccine for the reasons I mentioned (I edited my original post to explain further). It would be much more helpful if someone could tell me if this was a legitimate reason to be turned away or if it was a specific problem at this store that I should pursue further and have them reprimanded for turning away someone genuinely wanting the vaccine.
sarisataka
(18,633 posts)About another person's medical insurance?
Apparently they don't accept HIPPA either
W_HAMILTON
(7,864 posts)I explained to them that I was not and I just wanted to know why exactly they would turn away someone given that they advertise free vaccines for the INSURED and uninsured.
inthewind21
(4,616 posts)I call BS. WAY too much of it to even be remotely believable.
W_HAMILTON
(7,864 posts)I was not on fucking TikTok trying to get views and get Walgreens boycotted and canceled. I was asking if this was a common experience and, if not, how I could go about reporting the situation so that this would not ever happen again to someone wanting to get their vaccination.
tritsofme
(17,377 posts)Glorfindel
(9,729 posts)Medicare paid. I suppose it's customary to bill for the ADMINISTRATION of the vaccine, or Medicare wouldn't have paid.
Buns_of_Fire
(17,175 posts)But I got my shot at the county medical center, not a pharmacy. Maybe that makes a difference.
Blue_true
(31,261 posts)That was during the vaccination push. People that have waited have allowed the facilities that were available then vanish.
Klaralven
(7,510 posts)Buns_of_Fire
(17,175 posts)I'm sure it was on there somewhere.
happybird
(4,606 posts)From FAQ: Is the vaccine free?
The Centers for Medicare & Medicaid Services
states that people without health insurance or whose insurance does not provide coverage of COVID-19 vaccines can get a COVID-19 vaccine at no cost with health plan or government program coverage.
Because they do have insurance, but not a plan accepted by Walgreens, they may be telling the truth.
If they had no insurance it would be free.
Blue_true
(31,261 posts)obamanut2012
(26,068 posts)happybird
(4,606 posts)If you dont have insurance (this person does, but not one accepted by Walgreens) OR
If your plan does not provide for a covid vaccine (very highly unlikely)
Pharmacies arent doing this out of the goodness of their hearts, they want to be reimbursed for the time and staff they are putting into vaccinating people.
Jilly_in_VA
(9,966 posts)for people under 65. Seriously.
Blue_true
(31,261 posts)My guess, the pharmacists were busy and just didnt want to take the time to prepare the vaccine for use (let it thaw out properly).
The shot is supposed to be free. I have been in CVS and hear on the overhead that people can simply walk up to the Pharmacy counter and get a shot.
I need to get this off my chest. I dont feel sorry for the person. The person could have gotten the shot when pharmacies were thawing out lots of doses and allocating people specifically to administer the shots. It was boneheaded to wait and such behavior always come with a price. To go know when pharmacies likely have pared down to their regular staff is likely why someone behind the counter told the person something that is in fact not the case.
The person should go to CVS, it seems to me that pharmacy is doing a better job accommodating stragglers.
rustysgurl
(1,040 posts)I was just on hold with Walgreens and the message was playing over and over again. Come in. It's free. I think your friend is telling a story.
W_HAMILTON
(7,864 posts)I called the Walgreens myself because I wanted to hear their explanation. They really did turn him away.
JI7
(89,248 posts)is telling the truth .
emulatorloo
(44,120 posts)haele
(12,650 posts)With an expired drivers license and no insurance at all. They gave him his shot, so Walgreens handled him through Medi-Cal -which he also was not registered with, so they could get their pharmacist paid.
Vaccine is free, dedicated pharmacist giving the shot isn't.
And if Walgreens doesn't accept that insurance (or vice versa), they will not give the shot because "they aren't a charity".
So this sounds like either your friend is fibbing or the state he's in isn't covering uninsured or out of network like they should.
Haele
Chainfire
(17,536 posts)I don't believe that your friend wanted the shot.
W_HAMILTON
(7,864 posts)I called the Walgreens myself because I wanted to hear their explanation. They really did turn him away.
As a side note, he went to a CVS afterwards and they told him they didn't accept walk-ins.
marie999
(3,334 posts)boston bean
(36,221 posts)Didnt want to tell you they didnt get the shot for their own reasons.
W_HAMILTON
(7,864 posts)I called the Walgreens myself because I wanted to hear their explanation. They really did turn him away.
LanternWaste
(37,748 posts)Screen shots can be faked. Friends can lie. Things can happen.
I either do not believe your friend's narrative or yours. One (0or both) is inaccurate at best. False more likely.
W_HAMILTON
(7,864 posts)Would you like me to private message you the pharmacy phone number of the location in question so you can call and ask them yourself? Would that be sufficient for you to offer help in this situation instead of assuming someone is lying?
EDIT: I went ahead and PMed you the phone number anyway. Call them quick so maybe you can get the same woman that I talked to. I look forward to your apology for calling me and my friend a liar.
USALiberal
(10,877 posts)Treefrog
(4,170 posts)No answer forthcoming, right?
W_HAMILTON
(7,864 posts)...question someone that has been a contributor here for almost two decades and assume they are lying -- and for what reason? What reason would I have to lie? All I asked for was whether what this Walgreens did was common practice and what I should do to remedy the situation if it was not, so that other potential vaccine recipients are not also turned away in the future.
And for your information, I also sent the person you responded to the location and phone number so they can verify for themselves what I said. I am not lying and I have no reason to hold this information back, but I also do not want to get doxxed by the known Trumpers that view this site nor do I want to kick off some viral social media mob to take action against this particular location -- I want actual corrective justice if that is what this situation calls for and I want to make sure it doesn't happen to someone else in the future.
Treefrog
(4,170 posts)I said it sounded like your friend did.
At any rate, Ive no idea why you think you could be doxxed by posting the location of the Walgreens. But whatever.
W_HAMILTON
(7,864 posts)Last edited Mon Aug 2, 2021, 01:17 PM - Edit history (1)
And, yes, you insinuated *I* was lying as if I wouldn't respond to that person's post (because apparently this is all just a lie, right?) when I've been responding to most posts in this thread. My friend did not lie. I did not lie. I have provided the phone number and/or store location privately to the two posters that asked for it because I assume they are trustworthy given their long posting history.
And it's fine if you have no idea how I could be doxxed by posting the exact location of a Walgreens near me -- which, in conjunction with some other information available on this site, most certainly could be used to dox me -- but that doesn't change the fact that, yes, I could be doxxed and I would prefer for that not to happen.
Treefrog
(4,170 posts)Carry on.
W_HAMILTON
(7,864 posts)I posted to see whether this was a common experience with other people and, if not, what I should do to make sure that the location in question is reprimanded and future action is corrected. I originally posted looking for help on what I should do in response.
I will PM you the phone number and location.
Indykatie
(3,696 posts)Treefrog
(4,170 posts)No proof of insurance is needed.
W_HAMILTON
(7,864 posts)I called the Walgreens myself because I wanted to hear their explanation. They really did turn him away.
AngryOldDem
(14,061 posts)I registered for the vaccine through my state department of health and got both shots at a city-run facility. When I registered, I had to provide proof of insurance.
The vaccination needs to be given out, no questions asked.
Faux pas
(14,672 posts)His insurance should have nothing to do with it, the vaccines are FREE.
Effete Snob
(8,387 posts)What is your friends insurance company?
https://www.cdc.gov/vaccines/covid-19/retail-pharmacy-program/faqs.html
COVID-19 vaccine is free of charge for everyone. Participating pharmacies will bill private and public insurance for the vaccine administration fee. For uninsured patients, this fee will be reimbursed through the Health Resources and Services Administrations Provider Relief Fund. No one will receive a bill for a COVID-19 vaccine.
W_HAMILTON
(7,864 posts)For all the talk about how easy to get a vaccination is, it is disappointing to see someone get turned away from two different locations that advertise broadly about how easy it is to get a vaccination with them.
If Walgreens is not going to accept someone's insurance, they should ask for their insurance information before making an appointment rather than turn them away at the vaccination location when the person shows up for their appointment.
Effete Snob
(8,387 posts)That what your friend claims is insurance is some sort of bullshit.
The ACA requires coverage of preventive care for real health insurance.
W_HAMILTON
(7,864 posts)I haven't heard of them before, but I have been turned away from Walgreens for other services because they did not accept my federal marketplace healthcare insurance plan, so, once again, I don't think your answer is the problem here.
orleans
(34,051 posts)(i wonder if someone said they'd pay cash for the shot at that walgreens how much they would charge)
i digress.
the town i'm in offered free shots for residents (i'm in illinois) and when i got there i was asked for an insurance card. i told them i don't have insurance--they said that was okay. they copied my license and i got the vaccine.
so... i'm wondering if your friend just said they didn't have any insurance what would walgreens do?
when i pick up a script i think walgreens (who knows i'm not insured) scans in one of their goodRx cards for me and i get a bit of a discount. so i just googled to see if goodrx would pay for the shot.
take a look at their website--it's an older article but might be helpful
https://www.goodrx.com/covid-19/how-much-will-the-coronavirus-covid-19-vaccine-cost
also, could your friend go to their dr. for the vaccine?
i think it's terrible that someone who has finally decided to get vaccinated gets dicked around or turned away. i'm glad you're there for your friend and helping them out. don't let them get discouraged.
(if you continue to get screwed around about this then call the local news station and see if they can help find out something. one thing du has shown me over the years is that i'm not alone going through things; if your friend is getting the runaround because of wrong insurance they are not alone--this is happening to others)
W_HAMILTON
(7,864 posts)haele
(12,650 posts)He needs to contact Molina to see where he can go. Some independent pharmacies take Molina, or he can go to a county vaccine site.
Getting a walk-in can be difficult, but if he calls in the late afternoon/evening, most pharmacies will have openings.
Haele
W_HAMILTON
(7,864 posts)He has already made an appointment at CVS for next Sunday; I would hope that he would know to call and check if they take his insurance, but I will ask him later and make sure he checks beforehand now that we know all the potential pitfalls in trying to get the vaccine.
Effete Snob
(8,387 posts)https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/providers/mi/medicaid/Walgreens-FAQ-12-29-Pharmacy.pdf
Q. Where can my patients go for their pharmacy services? A. Molinas Medicaid pharmacy network still includes many major and local pharmacies, able to meet all of your patients pharmacy needs. Below is a list of some of the participating pharmacies, however, for a complete list of Molinas Medicaid pharmacy network, please visit our website at www.molinahealthcare.com.
The new network can be located under the Find a Pharmacy link at: http://www2.caremark.com/micro/asset/molina_mi_pharmloc.htm.
Costco Pharmacy Rite Aid Pharmacy CVS Pharmacy Sams Club Pharmacy Kroger Pharmacy Target Pharmacy Meijer Pharmacy Walmart Pharmacy
fescuerescue
(4,448 posts)Walgreens doesn't have a relationship with that insurer.
HHS will pay for the vaccine for anyone who is uninsured.
Walgreens can't use that persons insurance, and can't tell HHS that the person is uninsured.
ergo. That person can't get the vaccine at Walgreens.
W_HAMILTON
(7,864 posts)- Charge you for a vaccine
- Charge you directly for any administration fees, copays, or coinsurance
- Deny vaccination to anyone who does not have health insurance coverage, is underinsured, or is out of network
- Charge an office visit or other fee to the recipient if the only service provided is a COVID-19 vaccination
- Require additional services in order for a person to receive a COVID-19 vaccine; however, additional healthcare services can be provided at the same time and billed as appropriate
Taken from: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/no-cost.html
I know that the usual "we don't accept your insurance, therefore you should go somewhere else" can be expected with normal medical situation, but COVID is not a normal medical situation. Judging from the guidance that the CDC representative gave me, this person should NOT have been turned away from getting the vaccine just because his insurance was out-of-network.
Shrike47
(6,913 posts)W_HAMILTON
(7,864 posts)mnhtnbb
(31,384 posts)I got both my shots at my county health department (Durham, NC) in February and March. They did not ask for any insurance or even my Medicare card.
DemocraticPatriot
(4,361 posts)at a drive-thru vax site. I was never asked about insurance.
This is a pharmacy thing-- they are allowed to collect payments from insurance plans for administering the vaccination to those who have insurance.
W_HAMILTON
(7,864 posts)...and spoke with someone that said -- and lord knows I'll be accused of lying yet again after this, but yet again, it most certainly happened -- that they also were turned away from Walgreens because they did not accept their insurance, but that they were upfront about it when she made the appointment. I told her that I understand her personal experience, but are they allowed to legally do what they did, and she said that the state does not handle stuff like that and instead I would need to go to a higher authority like the CDC...? That sounded a little suspicious, because you would think the state most certainly would have jurisdiction over pharmacies operating in their state. Oh well, next to try to find the CDC phone number and see if they have any better guidance...
Meowmee
(5,164 posts)Ask about any insurance information etc. ahead of time. Good idea to ask the county health dept about this.
We had our vaccines at a pfizer pod at a uni. I may have given insurance data when filling out the forms online or on the phone, I cant recall now. We were not billed.
Tomconroy
(7,611 posts)Walgreens needs to train their people better.
The shot is free. Insurance is billed for Walgreen administering the shot. No insurance: the government picks up the tab.
pnwest
(3,266 posts)W_HAMILTON
(7,864 posts)...except he was insured through an insurance company that Walgreens apparently does not accept, which I think is bull crap. At nowhere during the appointment-making process did it notify him that this could even be an issue.
USALiberal
(10,877 posts)MustLoveBeagles
(11,599 posts)I hope your friend doesn't give up on getting vaccinated. I've read the thread where some thought your friend or you were lying about this. I'm taking you at your word that you and your friend are telling the truth. I think it's possible that the people at that store are simply lazy and didn't want to bother with it or they don't know what the hell they're talking about and are giving out incorrect information. Either way they need to be reported.
obnoxiousdrunk
(2,910 posts)wants to be vaccinated.
W_HAMILTON
(7,864 posts)Read my response to the other person about some of the backstory and why he had put it off. Whether you agree with his actions or not, he was willing to get the vaccine today and went to two different locations and came away with no vaccine. That should not happen.
And he scheduled an appointment at CVS for his vaccine next Sunday.
W_HAMILTON
(7,864 posts)And he ended up making an appointment at CVS for next Sunday. I had been on this person and finally got him to register to vote recently and had been on him to vote in the last election and he did -- for Biden. I had been on him about getting the vaccine for awhile now, but he has anxieties -- social anxiety and anxiety about doctors -- and when myself and his mother were getting our vaccines, he was not eligible due to his age and no preexisting conditions at the time. This meant he basically had to get it on his own, which he had not done, in part due to the anxieties I mentioned and probably in part thinking to it was all dying down due to the recent low point in cases. Now that the Delta variant is raging and infections are becoming widespread again -- especially in the area where we live -- I had been leaning on him heavily to get his vaccine once again. I didn't even know he was going, he didn't tell me, but he sent me several texts after he did go to two separate locations today and still wasn't able to get his vaccine. He was upset that he finally put in the effort to get the vaccine and this was the result and I was especially angry that after all the work I had done to try and personally push him to get the vaccine that he was turned away from two national brands that heavily advertise how anyone can walk in and get their shot.
dflprincess
(28,075 posts)My nephew has no insurance but had no problem getting his shots at a Walgreen's here (Minneapolis).
Unless you're better off just telling them you have no insurance.
W_HAMILTON
(7,864 posts)And the person, in reference, he HAS insurance, but apparently this Walgreens did not accept his insurance, so they turned him away and said they couldn't simply give him a vaccine as an uninsured patient because that would be committing insurance fraud and they wouldn't get reimbursed or something like that.
KT2000
(20,577 posts)The declined to give me one because at the time I was on a state plan. They said it takes too long to be reimbursed so they would not give me the shot - not that they did not accept that plan. I think their employees play loose with their policies.
I don't recall showing any insurance card at Walgreens when I went for my shot. Drivers License that's it. Vaccine is free no questions asked . Something is hinky
W_HAMILTON
(7,864 posts)If this particular Walgreens is wrongly turning away people that are trying to get the vaccine, that pisses me off to no end and I want them held accountable.
KewlKat
(5,624 posts)tell them you're calling the media about this. Noone is supposed to be billed for the Covid 19 vaccine...so no insurance is required. We used Costco, but we didn't even give them insurance information for that reason, I didn't want my insurance to be billed.
I'd raise hell for sure.
W_HAMILTON
(7,864 posts)I am not a confrontational person at heart, but this has really pissed me off. If I don't get a satisfactory explanation in the email response that is supposed to come in 24 to 48 hours, I may take your advice.
Treefrog
(4,170 posts)If this happened to me, Id be handling it myself. Is he in some way not able to make phone calls?
Why did he wait so long anyway?
W_HAMILTON
(7,864 posts)As for why I am so invested, it's because I am extremely pissed that I had urged him to get the vaccine for so long and the day that the dam finally breaks and he goes to get it, he gets turned away from two national locations that readily advertise how easy it is to get the vaccine at their locations. I am pissed and I want to make sure they are held accountable if this particular was in the wrong so no other person that goes into their store looking to get their vaccine gets turned away ever again.
Now, since you have yet again insinuated that I am a liar, what the hell incentive would I have to lie about this?
Treefrog
(4,170 posts)I asked why you were doing all the legwork. Perfectly legitimate question.
Obviously, many posters have questions here, and it appears weve hit a nerve.
Do keep us updated on this mystery, k?
W_HAMILTON
(7,864 posts)And I have answered every question posed to me. Are you saying that if someone was turned away from not one, but two locations after they tried to get their vaccine, it would not upset you? You would not want to correct the situation and have those that acted improperly held accountable so that no one is ever turned away again? Do you not want people to get vaccinated? Why would you be so skeptical of this? What do I have to gain? Have I posted a fucking GoFundMe or something? All I asked for was whether this was standard or not and if not, how I can go about reporting it so that it never happens again. That's it. And people like you dare to question the authenticity when I know it is true and have actually provided the fucking exact location to two posters already so that they can call the location themselves and ask whether it is their policy to turn away those whose insurance they do not accept, which, I have since found out, is against CDC protocols for those participating in the federal vaccination program, based on following through on the advice some actually HELPFUL people in this thread posted.
Treefrog
(4,170 posts)Perhaps keep after the guilty Walgreens instead of spending so much time on this thread?
W_HAMILTON
(7,864 posts)I'm on hold with the state department of health right now, but thanks so much for your disingenuous concern.
Treefrog
(4,170 posts)Deep breaths.
And keep us updated! Stay healthy now.
sinkingfeeling
(51,454 posts)xmas74
(29,674 posts)She doesn't use Walgreens because there isn't one in her town. She heard the vax was available at the one in my town and drove up. She's uninsured. She said they asked only for a state ID.
KentuckyWoman
(6,679 posts)The drug is free. Walgreens charges a fee for the admin cost. That either goes to insurance or you pay it.
If the local Walgreens mishandled, then talk to the store manager or go to a different one. Easy peasy.
W_HAMILTON
(7,864 posts)He made an appointment, went to the appointment, was asked for his insurance, provided his insurance card, and was told that Walgreens did not accept his insurance and therefore he would need to go somewhere else to get the vaccine.
obamanut2012
(26,068 posts)Zilch. If insurance doesn't cover it, the Feds do. It is 100% free.
KentuckyWoman
(6,679 posts)For each of my 2 shots at Walgeens.
EVERYONE I know paid the admin fee unless it was a clinic sponsored by the State or County.
If you have no insurance the provider takes your info and bills your county.
In It to Win It
(8,248 posts)Walgreens should not charge anything. You don't need insurance (I don't have insurance).
The bill for administrative costs goes to the federal government.
alphafemale
(18,497 posts)What is the store number?
Someone here will do it for you.
Sounds like an anti-vax store manager and they may deserve jail time and publicity
After I had the shot I contacted my insurance and they dropped $200 in my HSA.
But it is not a matte at all of needing insurance.
Crunchy Frog
(26,579 posts)Unless their corporate headquarters really comes through.
This is ridiculous, insane, and absolutely unacceptable given the nature of the public health crisis and the desperate necessity to get as many people vaccinated as possible. They deserve to be publicly embarrassed, at the very least, for fucking around with matters of life and death.
And screw everyone who's called you a liar without actually reading your full account of what happened.
Marrah_Goodman
(1,586 posts)Someone in this story is full of crap.
obamanut2012
(26,068 posts)This is not true, it is not factual at all.
AngryOldDem
(14,061 posts)If I had left that out on the state website, chances were my registration would have been flagged as being incomplete and wouldnt have gone through. My daughter got vaxxed through her university, and she had to give insurance information as well.
The feds need to be handling this, or dictating to satellite sites exactly how to register people. It should not be this hard.
Brother Buzz
(36,423 posts)Kaiser Permanente was the ONLY query, and I have no clue why.
yardwork
(61,599 posts)If Walgeeens did this, report the store to headquarters.
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/no-cost.html?s_cid=11398:how%20much%20does%20covid%20vaccine%20cost:sem.ga
MineralMan
(146,288 posts)That sort of thing happens all the time. Either the employee didn't know the rules or was deliberately refusing to vaccinate someone. There are people working almost everywhere who are anti-vaxxers, too.
There's no reason to question the OP's truthfulness, when there is such a simple explanation of how that could happen.
W_HAMILTON
(7,864 posts)If this person is turning away people from getting the vaccine -- either unintentionally and ESPECIALLY if done intentionally -- I want them held accountable and the situation fixed so that no one is ever turned away again.
MineralMan
(146,288 posts)Accusing you of not telling the truth represents some of the worst of that.
marie999
(3,334 posts)of this one case of someone turned away. You want to call the poster a liar, prove it didn't happen.
W_HAMILTON
(7,864 posts)I've been around DU for around 15 years -- I said around 20 years in another post, but I went and checked when I was originally registered, even though I think I had been browsing DU a bit before that (I first started when someone mentioned this site on C-SPAN) -- and have been a regular contributor and consistent contributor through the years (although I don't post nearly as much as some do). You would think I would be given the benefit of the doubt -- once again, what incentive do I have to lie about this? -- but apparently not. It is sad. I was looking for nothing from anyone other than the answer to whether this situation was common and, if not, what I could to go about reporting the situation so that it would never happen again.
AngryOldDem
(14,061 posts)I have no idea why insurance is an issue with a free vaccine, but it was for some of us. Just because it wasnt for others doesnt mean it wasnt so. I even got an insurance statement showing I owed $0.00, and it puzzled me until I remembered my shots back in April.
You never know what kind of response youll get on these forums.
fescuerescue
(4,448 posts)It's really simple, although infuriating.
Fact 1) Walgreens doesn't have a relationship with that person's insurer.
Fact 2) HHS will pay for the vaccine for anyone who is uninsured.
Fact 3) Walgreens cannot use that person insurance.
Fact 4) HHS won't reimburse Walgreens, because that person has insurance.
Conclusion: That person cannot get the vaccine at Walgreens without lying about insurance status.
Fortunately, there are lots of other providers and that insurance plan will have a list.
obamanut2012
(26,068 posts)It is covered, period. If it happened exactly as OP said, Walgreen's was 100% wrong. No grey area.
fescuerescue
(4,448 posts)They were turned away because they had insurance that Walgreens isn't affliated with.
HHS won't reimburse them because the customer had insurance.
The customers insurance won't reimburse Walgreens because they do not have a contract.
Walgreens only had two options
1) Give the vaccine away at a loss.
2) Turn the customer away.
You are correct. There is no grey area.
Effete Snob
(8,387 posts)If you have health insurance, then your health insurance is charged.
If you do not have health insurance, it is subsidized by the government.
But it is fraud to charge it to the government if the patient has insurance.
In this instance, the patient has insurance which Walgreen's does not accept, because it is a cheap brand of insurance with a strict in-network policy:
https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/providers/mi/medicaid/Walgreens-FAQ-12-29-Pharmacy.pdf
Q. What is the effective date of the Medicaid pharmacy network change removing Walgreens?
A. This Medicaid pharmacy network change is effective January 1, 2017 for all counties excluding Genesee.
Q. What Lines of Business does the pharmacy network change impact?
A. Molina Medicaid is the only line of business impacted by this change. Molina Medicare, which includes MI Health Link and DSNP members, may continue to access Walgreens. Walgreens does not participate with Molina Marketplace pharmacy network.
-----------
Do you find it at all amazing that, for this fictional tale, the OP just happened to know that Molina was not accepted by Walgreens? Like, he did research before making it up?
W_HAMILTON
(7,864 posts)I understand the in-network/out-of-network issues that arise during regular medical situations; however, needless to say, the COVID situation is apparently completely different and has outside-of-the-ordinary protocols involved here. I called the CDC and was given this guidance:
- Charge you for a vaccine
- Charge you directly for any administration fees, copays, or coinsurance
- Deny vaccination to anyone who does not have health insurance coverage, is underinsured, or is out of network
- Charge an office visit or other fee to the recipient if the only service provided is a COVID-19 vaccination
- Require additional services in order for a person to receive a COVID-19 vaccine; however, additional healthcare services can be provided at the same time and billed as appropriate
Taken from: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/no-cost.html
So, no, it looks Walgreens should NOT have turned this person away simply because his insurance was out-of-network. That goes against the federal protocols set for those providers who are participating in the COVID vaccination program.
fescuerescue
(4,448 posts)Walgreens can't charge the customer.
Walgreens can't charge HHS because the customer has insurance.
Walgreens doesn't have a contract with the insurer. It's NOT a network issue. Network issues only arise when the provider has a contract with the insurer.
Walgreens only option was to provide the vaccine free of charge and NOT seek reimbursement.
For reasons that are private too walgreens. They choose to not give out the vaccine at a loss without reimbursement.
W_HAMILTON
(7,864 posts)Walgreens is out-of-network for the person's insurance. Per the CDC protocols for those participating in the federal vaccination program, providers cannot turn away someone simply because their insurance is out-of-network. Does that mean that they list them as an uninsured patient and get reimbursed through the federal program instead? I do not know, but that is something Walgreens should know. Either way, rejecting someone looking to get the vaccine because they are out-of-network is against CDC protocols.
fescuerescue
(4,448 posts)In this case it seems like it's beyond just network issues.
It's that Walgreens doesn't have a relationship at all with the insurance company. (remember, insurance company have multiple networks)
Walgreens can't go to HHS for reimbursement. They would have to lie about the person insurance status.
Also, I don't know if the CDC protocol has the force of law.
I mean - it is bad form and bad PR. But I don't think they broke any laws here.
I think it's just a gap in policy and law. Not that EVER happens in the US right?
DFW
(54,370 posts)I remember that my wife and I both had to fill out some kind of questionnaire
When we got to the pharmacy where we had an appointment (made by my office in Dallas), they asked if I had my Medicare card (I didn't), and they said they'd call Washington and get what they needed (done in less than 15 minutes). My wife is a German citizen, so no US health insurance. That made it easier (go figure), so they didn't even ask her for any paperwork beyond her driver's license, which was all in German, but they took it.
It sounds like there are different rules in force for every pharmacy chain, every State, and every other organization that administers vaccines. Predictable, but more than a little cumbersome.
obamanut2012
(26,068 posts)If this happened as the OP said, then there was a rogue Walgreen's and someone needs to call their HQ.
DFW
(54,370 posts)I hope someone is able to find out.
RobinA
(9,888 posts)about the issue here. Walgreens doesn't take his insurance. Walgreens doesn't take my insurance as I discovered the first time I went there to fill a prescription after getting my current job and they told me, "We don't take your insurance." You go somewhere else. It's a little disingenuous for all these places to say the vaccine is free when it clearly isn't if you read down below that insurance or the government will be billed. But Walgreens can't bill his insurance and they can't bill the government, so why would they provide the service for free?
obamanut2012
(26,068 posts)They are part of the Federal program. Insurance has zero to do with anything. They must give the vax to anyone who meets age requirements.
W_HAMILTON
(7,864 posts)But then this Walgreens situation happened, and I wondered if I was wrong all this time; however, I called the CDC and a representative pointed me to the following guidance:
- Charge you for a vaccine
- Charge you directly for any administration fees, copays, or coinsurance
- Deny vaccination to anyone who does not have health insurance coverage, is underinsured, or is out of network
- Charge an office visit or other fee to the recipient if the only service provided is a COVID-19 vaccination
- Require additional services in order for a person to receive a COVID-19 vaccine; however, additional healthcare services can be provided at the same time and billed as appropriate
Taken from: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/no-cost.html
Based on this, it sure seems like this particular Walgreens was not following federal protocols that they agreed to by participating in the federal vaccination program. The person in question should NOT have been turned away simply because his insurance was out-of-network.
fescuerescue
(4,448 posts)Suddenly we have a perfect system?
Response to W_HAMILTON (Original post)
Post removed
W_HAMILTON
(7,864 posts)The only thing you should be sorry for is accusing him -- and by extension, me -- of lying. I am just trying to get someone vaccinated and looking for help so that no one has to go through the situation this person did and get turned away from being vaccinated and you say that it is just a lie. I have absolutely no incentive to lie here. What I said happened, did happen. I verified it myself by calling the Walgreens in question. In a subsequent call to report the matter to the local health department, the freaking person that answered my call said they had the exact same problem with Walgreens and had to go get their vaccination at another location. Claiming it is all just a lie rather than putting the onus on Walgreens to remedy the situation and stop denying people the vaccine -- which, per the CDC guidelines that I was provided when I called to report the incident, most certainly is breaking COVID vaccine provider protocol -- is you actively supporting those out there that are preventing more people from getting the vaccine. I would hope that as a DU member that would not be the case, but it is the end result of you calling the situation a lie.
kcr
(15,315 posts)He's not my friend so I'm not compelled to believe his entirely unbelievable story. I think your friend just wants you to get off his back. He doesn't want the vaccine and has no plans to get one.
W_HAMILTON
(7,864 posts)The one that admitted that they do turn people away for the vaccine if they do not accept their insurance?
And he does have plans to get one: he made an appointment with CVS for next Sunday, and, yes, they do accept his insurance.
And nice compassion you have there. If you had no helpful advice for this situation, you could have simply chosen to not respond rather than be ill-informed and assume that it's all a lie when it most certainly is not.
Kang Colby
(1,941 posts)W_HAMILTON
(7,864 posts)What I was never happened was your unhelpful contribution to this thread and the situation. You could have just as easily not commented.
fescuerescue
(4,448 posts)That we have a gap in our health and insurance system?
On this site no less.
W_HAMILTON
(7,864 posts)What I wonder is what incentive do THEY have for calling me a liar? Do they think that I am somehow shitting on the federal vaccination program? BY WANTING TO GET MORE PEOPLE VACCINATED? I mean, what the hell? I know there are so many liars on the internet that people should be skeptical, but what do I get out of lying? Did I join this site ~15 years and be a contributing member in the mean time just so I can make up a vaccination story for...? For what? I didn't ask for donations. I didn't ask for freaking internet fame. All I did was ask whether this situation was normal and, if not, what I could do to make sure it gets fixed and never happens to anyone else ever again? What the hell is so nefarious about that?
Crunchy Frog
(26,579 posts)Accusing other posters of lying affords them a good opportunity to exercise that indulgence.
Tomconroy
(7,611 posts)Taken down by claiming it was a Republican talking point. Good luck. You are a good friend and you have a low tolerance for crap.
W_HAMILTON
(7,864 posts)obamanut2012
(26,068 posts)IF that is a rogue Walgreen's, then the OP needs to call Walgreen HQ. US healthcare has a lot of issues, but thisn't one of them. The vax is free to everyone. Period.
fescuerescue
(4,448 posts)At all.
Period.
Which is more likely? That we have a gap in our insurance system. Or that Walgreens has gone rogue and has joined the ranks of the anti-vaxxers, while staying in the business of providing vaccinations?
obamanut2012
(26,068 posts)I didn't say Walgreen's was rogue, I said a pharmacy employee there may be.
Either the OP is lying, his friend is lying, or there is a rogue Walgreen's.
Period.
You are 100% incorrect, and you're doubling down is weird. The vaccine is free, you don;t need insurance, you don't need to be in-network. Saying there is a gap doesn't make one appear.
You are not acting in good faith, so the dialogue is ending here.
fescuerescue
(4,448 posts)Not everyone is out to get you. Not everyone is lying to you. Nor are rogue employees out kill off the world with Covid. Heck you are even accusing me as being part of your conspiracy!
Worst case is an employee made a mistake.
Most likely case, based on the CDC rules, insurance rules, insurance contracts is that there is a minor gap with insured people going facilities without a contract.
Heck that happens every single day in every single hospital in the US (the provider doesn't have a relationship with the insurer)
Your faith in the insurance system is a bit misplaced, and you have some serious trust issues.
So I'm happy to stop talking to you.
Ace Rothstein
(3,161 posts)W_HAMILTON
(7,864 posts)He has since made an appointment at CVS for next Sunday and verified that they do take his insurance.
My issue with this situation is that it is unlikely that he is the only person that Walgreens has turned away, which means how many people have gone without the vaccine due to their policy, which, I have since learned, is most certainly against the federal COVID protocols for vaccination providers? I want this situation fixed so that no one else is turned away from getting the vaccine like he was ever again.
Treefrog
(4,170 posts)My friends, acquaintances, and I were all vaxxed at either Walgreens or CVS. No problems.
In my small red town, there are signs at EVERY pharmacy, including the private ones, that the jab is there for walk-ins. Walmart even has a banner up and signs inside the store as well. Harris Teeter and Publix have the vax, with signs up advertising the fact.
Youre getting so het up that people have problems with this tale, but the fact is we all have been through the vax process and have family, as well as friends, who have also.
Dont take things so personally. Goodness gracious.
W_HAMILTON
(7,864 posts)The person I called at my city health department also said that they were originally told that Walgreens did not accept their health insurance and that they would need to get their vaccination elsewhere. Just because you and the people you know haven't run into this problem doesn't mean that others haven't, so insinuating they are liars is rude and unhelpful.
And, yes, I will get heated up that people like yourself have provided absolutely no help in this matter whatsoever and have spent their entire time in this thread calling the entire situation a fabrication. It's not. Stop polluting this thread with YOUR lies. You are wrong, period, full stop. Could you even step back for a moment and think that you are in the wrong and maybe think of what advice you could offer if the situation is as I have said? Then what? Do you think it's right for them to turn away someone looking to get the vaccine because of bureaucratic insurance-related issues, which is apparently against CDC protocols for vaccination providers?
Treefrog
(4,170 posts)I never once have told a lie. Name one.
W_HAMILTON
(7,864 posts)And you have told a lie: that I am lying when I am not.
Treefrog
(4,170 posts)I never called you a liar. Please point out where I did.
You cant.
When someone devolves into name-calling, as you have done with several of us on the thread, it becomes clear thats all you have.
Again, deep breaths and hope your day improves!
obamanut2012
(26,068 posts)Name them, now. State what lien they told. They told NONE.
As my father says, you need to calm down and cool your jets.
Treefrog
(4,170 posts)This guy has a real bee in the bonnet with me. My comments are some of the milder ones Ive seen in this thread lol.
W_HAMILTON
(7,864 posts)Reckless disregard for the truth is lying. I have answered all of your questions and have given absolutely no reason to lie about this. If a Republican were given the facts about something and continued to perpetuate misleading information about the subject, they would be telling LIES. You are doing the exact same here. The fact that I even genuinely asked you to stop for a second and assume that I was telling the truth and what that would mean not only in your inability to empathize with the situation, but what it could portend for others out there that have been turned away when trying to get the vaccine, and you just ignored the question completely. Someone is not acting in good faith here, but that someone is not me.
Treefrog
(4,170 posts)Give it up. This is pathetic.
W_HAMILTON
(7,864 posts)I've answered every single one of your questions, including you telling me to take further steps because you think I am proving a lie, and yet you have now TWICE dodged my simple question: and what if I am telling the truth? How would you feel about your actions then?
I should put you on ignore, but I don't want to give you the satisfaction of being the first person I've ever had to ignore on this site.
Treefrog
(4,170 posts)Wow, on the phone to the health department and the news station!
Go for it! Keep us updated!
Treefrog
(4,170 posts)Waiting with bated breath.
You seem really concerned so please let the media know!
W_HAMILTON
(7,864 posts)I already have said that I am a private person and would not want to get doxxed because of this, I am not looking for fame, I an looking to have the Walgreens in question held accountable if what they did was wrong and to make sure that they don't do it to any other vaccine seekers.
Treefrog
(4,170 posts)Because no doubt this thread will make it it to a major news market.
Pretty sure theyll try to verify and then kill it. Happy to apologize if Im proven wrong. Please let me know.
Treefrog
(4,170 posts)This gets more fascinating by the minute.
W_HAMILTON
(7,864 posts)I'll happily jump through all the hurdles you want me to just to prove you wrong and to get that apology that you said would be forthcoming -- or was that another of your lies?
Treefrog
(4,170 posts)Keep calling me a liar, though youve yet to cite a single one. Glad youre involving the news media. Well all be waiting! Ive not called you a name ever.
Very weak.you seem unable to stop with the personal attacks. Not able to post a single lie you claim I said.
Ill ll disengage with you now, because I find people who resort to insults will only continue with same. Good luck, and we will all be watching for the Walgreens story about a man turned away for a vax!
Bookmarking this thread to wait for your follow ups. Good evening to you. All the best.
W_HAMILTON
(7,864 posts)You seem to think that saying you are lying about me is unacceptable, but you calling my story a bunch of lies is somehow acceptable, even though it is the truth.
Treefrog
(4,170 posts)Bye now.
obamanut2012
(26,068 posts)Not your local health department or CDC. Call HQ.
W_HAMILTON
(7,864 posts)The representative said that she filed a complaint and that I should receive an email response in 24-48 hours.
I have not yet received that response.
obamanut2012
(26,068 posts)Because, if this happened as your friend said, then there is a rogue antivaxxer pharmacist in charge there.
Treefrog
(4,170 posts)Most news stations would jump on a story like this.
If it can be verified, of course.
obamanut2012
(26,068 posts)Treefrog
(4,170 posts)News stations are great about changing voices, hiding faces and so on.
Id be on the line to one in a skinny minute!
Treefrog
(4,170 posts)Surely hed let us know?
ecstatic
(32,701 posts)A lot of the pharmacists have their own agenda and their own fake rules that aren't documented anywhere. You won't encounter that side of them unless you're getting something "controversial" like Plan B or something (the vaccine?). These days I deal with Kroger or CVS. Mostly Kroger. Drama free each time.
BradAllison
(1,879 posts)I was asked via email to submit my insurance but never actually did as was never asked in person. Got the shots no problem.
Tomconroy
(7,611 posts)A small iota of evidence to support their claim.
Moosepoop
(1,920 posts)At that time, one still had to "sign up" online for an appointment, which was only possible when one's age group/health status group became eligible, and even then only when the local pharmacy actually had vaccines available.
My opportunity arose (I was checking the site every day until it did), and I booked the online appointment for the next day. Meanwhile, they had an online information form, which I printed out blank and filled in by hand. I left the info boxes about insurance blank, as i wasn't sure what to put.
The company I work for has insurance that is "grandfathered" out of having to comply with the ACA. It does not cover any vaccines -- not for flu, not for pneumonia, nothing. I was fairly certain that they wouldn't cover Covid vaccines, either.
When I got to the pharmacy for my appointment (it was the J&J shot), I told the tech at the counter why I'd left the insurance info blank. I had insurance, but it would not cover the shot. Should I still put that insurance info down?
She said that in that situation, they consider the person uninsured (for the shot, at least) and put me in the system for the government coverage.
The "out of network" situation with your friend should, I believe, have been handled the same way. Out of network simply means that the provider (Walgreens, in this case) does not contract with the insurer in question. In which case, the patient is uninsured for the shot at Walgreens under that insurance, and should have been put into the system for the government coverage.
That's just my experience with the vaccine at Walgreens, and my opinion. I don't claim to know the actual legalities involved.
W_HAMILTON
(7,864 posts)Whether it is being reimbursed by the federal government to private insurance and then to the provider, or to the provider directly, the federal government is still footing the bill regardless. Per the CDC guidelines that I was directed to, no one is supposed to be turned away from getting the vaccine because they are out-of-network. From everything I've been able to tell, the person should have been able to get the vaccine and the bureaucracy of it all should be on Walgreens to figure out.
Effete Snob
(8,387 posts)Can you imagine the government office where they are going to be hunting down pharmacies that gave shots to people who actually had a health insurance policy?
Xolodno
(6,390 posts)What else can be said? Obviously the individual was greatly misinformed and/or grossly negligent....or worse.
The health insurance I have from the company I work for requires you to do your prescriptions by mail or at Walgreens. I got my jab at Costco and they covered it.
Only reason I went there, it was March and every pharmacy was fully booked, I live in a "purple" area. So I told myself that Republican areas probably have plenty availability. I was right. Booked the closest pharmacy there and drove 40 minutes.
Before the vaccine, I got an email from Quest Diagnostics that they do COVID testing. Went to the site and found out they were going to charge me $200. Went to Rite Aid as they were doing it for free (had a nasty flu...thought it would be prudent to find out if I got it...nope, just the flu). Again, no charge.