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Humanist_Activist

(7,670 posts)
Wed Mar 26, 2014, 09:08 PM Mar 2014

OK, I thought this was taken care of(Obamacare question)...

So I work in prescription benefits, and I just got a call from a pharmacy about a member's copay increasing, I look it up, and the computer says that Benefit Maximum has been exceeded, in other words, his plan isn't going to cover prescription drug costs at all for the rest of the year.

Are there any plans that are exempt from this requirement? If not, I'm assuming its an error his plan will correct as soon as possible.

Since the system I access is for processing, I wouldn't have such details available.

By the way, I was ecstatic about this part of the law about no more annual or lifetime benefit maximums because I really hate the angry phone calls, and frankly, if I could, I'd just give everyone their medications for free.

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OK, I thought this was taken care of(Obamacare question)... (Original Post) Humanist_Activist Mar 2014 OP
Didn't government allow such old, cruddy plans to continue awhile longer Hoyt Mar 2014 #1
I can't get into too many specifics about the plan itself... Humanist_Activist Mar 2014 #4
Don't know enough about this specific situation, but you may find the following article of interest, PoliticAverse Mar 2014 #2
I would imagine this combined with a benefit cap(which isn't supposed to exist)... Humanist_Activist Mar 2014 #3
 

Hoyt

(54,770 posts)
1. Didn't government allow such old, cruddy plans to continue awhile longer
Wed Mar 26, 2014, 09:16 PM
Mar 2014

to appease the ignorant who whined, "but Obama said I could keep my plan if I liked it?"

 

Humanist_Activist

(7,670 posts)
4. I can't get into too many specifics about the plan itself...
Wed Mar 26, 2014, 09:22 PM
Mar 2014

except to say that we don't deal with individual plans, but group plans set up by either employers or unions.

 

Humanist_Activist

(7,670 posts)
3. I would imagine this combined with a benefit cap(which isn't supposed to exist)...
Wed Mar 26, 2014, 09:20 PM
Mar 2014

will royally screw some people over.

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