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  • #1

    Insurance refused

    My doctor finally decided to try elmron. He sent it through, and when I went to pick it up the pharmacist told me that the insurance company rejected me. I decided to call them up, and they and I got into an argument and I started swearing at them for the greedy a**** they are. Didn't end right.

    I can't afford $600 a month. There is no other country on earth does this happen. At least not in my opinion, I hate the United States with a passion. Everything is sky high. I've had enough, if I had the move to move I WOULD. Not to talk politics, but this is absurd.
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  • #2
    Re: Insurance refused

    Please ask your doctor about sending a request to your insurance company for an exception. I have had my insurance deny coverage for medications and allowing payment after my doctor filed for the exceptions. One of the doctors actually has a form letter they use to request exceptions.

    Don't give up on it until you talk with your doctor.

    Good luck!

    Donna
    Stay safe


    Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
    Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

    Have you checked the ICN Shop?
    Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

    Patient Help: http://www.ic-network.com/patientlinks.html

    Sub-types https://www.ic-network.com/five-pote...markably-well/

    Diet list: https://www.ic-network.com/interstitial-cystitis-diet/

    AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

    I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.     [3MG]

    Anyone who says something is foolproof hasn't met a determined fool

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    • #3
      Re: Insurance refused

      Definitely see if your doctor can help. I just had to have mine pre approved even though I have been taking it for 20+ years. And even then they only pay 50%. It costs me $230/month and I have good insurance. I thought the president was going to negotiate with other countries to make medication prices cheaper. I wish he would get on that.

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      • #4
        Re: Insurance refused

        I contacted them again, and they told me it's tier 4 and as a result they won't cover it as it's a brand name. I asked what could I do, they said they would consider it if I got test done in ER instead of just predicting. They won't even pay for that. i started to get loud with the ****. I explained, I realize you greedy **** need to give your CEO bonus of a few million dollars, and how you need to please your stockholders, lobbyists but at least please help your clients from time to time, and I just hung up. I hate greedy ****.

        EDIT:

        Doctor sent them a note and still refused.
        Last edited by ICNDonna; 09-16-2017, 11:56 AM.

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        • #5
          Re: Insurance refused

          Is there any way your doctor could do the test? Maybe the insurance idiots just need a certain condition code for their system? I would try every alternative before trying Elmiron. Maybe if you have already done that you can make a list of medications you have tried to show them. I don't get why it has to be so hard.

          Comment

          • #6
            Re: Insurance refused

            Originally posted by firewick View Post
            I contacted them again, and they told me it's tier 4 and as a result they won't cover it as it's a brand name. I asked what could I do, they said they would consider it if I got test done in ER instead of just predicting. They won't even pay for that. i started to get loud with the ****. I explained, I realize you greedy **** need to give your CEO bonus of a few million dollars, and how you need to please your stockholders, lobbyists but at least please help your clients from time to time, and I just hung up. I hate greedy ****.

            EDIT:

            Doctor sent them a note and still refused.
            The drug company has a program that provides elmiron for people who can't afford it, but your doctor must make the request.
            Stay safe


            Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
            Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

            Have you checked the ICN Shop?
            Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

            Patient Help: http://www.ic-network.com/patientlinks.html

            Sub-types https://www.ic-network.com/five-pote...markably-well/

            Diet list: https://www.ic-network.com/interstitial-cystitis-diet/

            AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

            I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.             [3MG]

            Anyone who says something is foolproof hasn't met a determined fool

            Comment

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