What is it with Insur. not paying?

By kaiya2465 Latest Activity February 20, 2012 at 10:24 am Views 1,960 Replies 5 Likes 3

kaiya2465

My doctor put me on a med that seems to be doing its job so far on controlling the severity of my migraines. The problem is with idiotic insur. that will not pay for more that 9 (20mg) pills in a 30 day cycle. I guess none of the ones that make up the policies suffer from migraines…What is a person suppose to do?
Thanks for letting me vent, & am sorry but am just really fed up with "Red Tape" BS.

Thanks

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Replies (5 replies)

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  • APN182
    APN182 February 3, 2013 at 12:21 am   

    I also feel your pain. My insurance will only cover 3 different triptans, 2 of which are generic. Then I only get 4 pills a month. That's like assuming I'm only going to have 2 migraines a month!

  • JKN71
    JKN71 November 12, 2012 at 2:35 am   

    I have prescriptions for 2 triptans…you CANNOT take within 48 hours of each other. The insurance pays for 6 Zomig per month and 9 Naratriptan (generic for Amerge). You just cannot overlap them or use them at the same time.

  • ladytrolley
    ladytrolley May 20, 2012 at 10:29 am   

    I know how hard it is to deal with insurance companies but in the longrun it is worth it. I have to get prior authorization with almst every med I take! the smartest thing you can do is when you get a new med, call the pharmacy to see if you need to call your insurance company, if they say yes, call your doctors office and tell them you need prior authorization and for them to call the insurance company. It could take up to two weeks for it to be authorized but it better than them not approving it. Good luck in this.

  • ImJ9
    ImJ9 February 25, 2012 at 6:29 pm   

    I know your pain. I've found the injectable imitrex to to work well. Each kit comes with 2 shots, my insurance will only cover 1 kit a month. I really have to think twice before I use a shot, "is this one really shot worthy or can I suffer through." my suggestion is to try and find several things that work. So the fine, insurance will only pay for 2 shots, but they will also pay for these 9 pills once a month. Ask you doc if there is another pill, or shot that is pretty much the same or in the same family and maybe you can get 9 of those a month. I refill my shots every month wether I'm out or not. I can go two or three months without a full blown migraine but then I'll have 3 in one week and 2 the next week so it's necessary to…I guess you'd call it stockpile.

  • myobloc2
    myobloc2 September 30, 2012 at 3:11 am   

    S