Background
1. Knees shot, tried euflexxa shots (3 rounds - one shot every 10 days each knee) 7 months ago. Not much relief but something is better than ...You know
2. Lost around 20lbs helped (20 more to go) good days, bad days (swear it is the weather) . Took kids fishing yesterday - lots of standing yet today the knees aren't bad today.. Go figure?
3. A couple of days ago Thought I'd try another round of shots .., call doctor leave message, follow up a couple days later.. Yeah we are working on it.
Thursday I get call from speciality pharmacy drugs in need of authorization to ship... I call she says cost to you is $800 - I say funny I have a $50 deductible and a 150 co-pay and I paid $200 all in last time (dr got another $500 out of me)?
It turns after 4 calls I discovered out my prescription plan CareMart made euflexxa off the approved list... So unbeknownst to me my Drs assistant found a specialty pharmacy that would bill my united healthcare (versus my prescription plan) so my $1500 dollar deductible kicked in.
I say since euflexxa wasn't wonderful can use one of the approved drugs...saving $600
You think they would have at least called me on this? I am not a big fan of people making $600 decisions for me...
These guys over billed me a couple hundred last time ...took nearly 2 months to get the money back...
Sent from my iPad using Early Retirement Forum.
1. Knees shot, tried euflexxa shots (3 rounds - one shot every 10 days each knee) 7 months ago. Not much relief but something is better than ...You know
2. Lost around 20lbs helped (20 more to go) good days, bad days (swear it is the weather) . Took kids fishing yesterday - lots of standing yet today the knees aren't bad today.. Go figure?
3. A couple of days ago Thought I'd try another round of shots .., call doctor leave message, follow up a couple days later.. Yeah we are working on it.
Thursday I get call from speciality pharmacy drugs in need of authorization to ship... I call she says cost to you is $800 - I say funny I have a $50 deductible and a 150 co-pay and I paid $200 all in last time (dr got another $500 out of me)?
It turns after 4 calls I discovered out my prescription plan CareMart made euflexxa off the approved list... So unbeknownst to me my Drs assistant found a specialty pharmacy that would bill my united healthcare (versus my prescription plan) so my $1500 dollar deductible kicked in.
I say since euflexxa wasn't wonderful can use one of the approved drugs...saving $600
You think they would have at least called me on this? I am not a big fan of people making $600 decisions for me...
These guys over billed me a couple hundred last time ...took nearly 2 months to get the money back...
Sent from my iPad using Early Retirement Forum.
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