Reply #2: When my husband was diagnosed with high blood pressure [View All]

[PA Democrat]

he tried about 4 different medications before finding one that worked without significant side effects. Then the fun began.

The insurance company said the drug that he and his doctor decided was the best to treat his BP wasn't on the insurance company's formulary. The doctor is a family friend and immediately helped us file the appeal. The insurance company took 4 months to finally approve the drug but would not cover the expenses retroactively. We were stuck with several hundred dollars in bills.

A year later the prescription expires and the doctor writes a new script for the same drug since it continues to work well. Guess what? The insurance company denies payment and tells us we have to go through the appeal process all over again.

It's a profitable scam that the insurance company uses to regularly deny coverage of needed prescriptions for 4 months of every single year.