HOW DARE THEY believe that can diagnose without seeing you, or even talking directly to you? This is truly a really bad example of an insurance company looking at the bottom line only. To repeat what Karen said (below) get your doctor involved. They are undermining his/her practice and essentially telling him/her that he/she does not know how to manage your case.
If they refuse to budge -- don't let it go too long -- contact your state's Insurance Commissioner. That is what the office is called in Wisconsin. I'll bet every state has one. It is usually part of the Attorney General's Office and is set up to prevent fraud and abuse.
Best wishes to you. Keep us posted on what happens.
Mike
Quote:
Originally Posted by GalenaFaolan
When you call the doc tomorrow, let them know right off the bat it is an EMERGENCY! If you can avoid withdrawl of any kind, mild or otherwise, then yeah, go for it! Tell them you can't get refills of cymbalta and lyrica, tell what the stupid insurance company said. I know docs will call and let them know, in no uncertain terms, you've tried "the other stuff" and doesn't work, hence the reason you're on what you're on!!! DUH!!! Then, if able to have the docs office drill into the stupid desk jockey's head that you NEED these meds, they'll approve...
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01-05-2009, 10:49 AM
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