{ "media_type": "text", "post_content": "can you appeal a prescription insurance claim? I was not told it would cost me over 2k just for 90 pilIs I do not need (theyre anti inflammatory meds, instruction says \"take as needed\")", "post_id": "59645f5b49174600166680b1", "reply_count": 9, "vote_count": 1, "bowl_id": "552d1d24dc1c586b09d2d051", "bowl_name": "Consulting" }

can you appeal a prescription insurance claim? I was not told it would cost me over 2k just for 90 pilIs I do not need (theyre anti inflammatory meds, instruction says "take as needed")

like
Posting as :
works at
You are currently posting as works at

I have received this call before. They call you and ask how you are feeling and then they tell you about this prescription you are qualified for that will relieve muscle pain etc. They ask leading questions that make you think 'yeah I do feel stiff in the morning etc'. Once you say okay they transfer you to a doctor who records your permission and voila! You are now stuck with these pills that you didn't know cost a fortune. Really crappy scheme.

like

Sounds sketchy, who is billing you? The hospital? Doctors can't order drugs for you if you're not in their office or the hospital, they write prescriptions and you have to actually make the purchase.

like

If the pharmacy doesn't have something showing you ordered it then it's no different than Cabelas sending you a game camera you didn't order along with a $300 bill

like

I here a legal case coming

like

I would try to work with prescription company, as well as submitting complaint to doctor's office. Maybe escalate to small claims court? Similar situation happened to me years ago with some scar cream after surgery- doctor failed to mention it was $12k+ (don't know actual cost, given it destroyed my family's deductible). My mom got nowhere trying to reduce bill, but with new regulations, there may be new protections for consumers.

like

Huh? If you don't need it don't take it

Why did you pay for them if the claim was denied?

Otherwise, if it's just using up the deductible, then no, you're committed if you took them home

The claim was not denied, I had personally told them I did not want it but I received a phone call by one of the nurses to get my address so they could send them to me, the nurse had told me the medication was FREE and that I would receive it in the next 2 days, she did not tell me the cost or what type of medication I was receiving

Related Posts

Any type-1 diabetics (in Big4) over here? How do you guys manage your health with so much work stress/hours?

like

Deloitte 🐠 Can you please tell, what is the cost for the health insurance for employee + family and what are the different coverage options (e.g. 80/90/100 % plans) ?

like

Best midsize healthcare/pharma (physician marketing) agencies for strategy?

Super bummed - took my health seriously this year, lost 40 pounds, found my love for running again, and was preparing to post a PR marathon in a couple weeks. My first day of tapering and I suffered a grade 3 ankle sprain. Now that my sob story is over - how do I stay healthy and relatively fit while being immobile for a bit? Do I just really need to focus on diet? Any suggestions are greatly appreciated.

like

I am looking to switch careers. I have been in my current career for nearly 20 years. I need a change. I have masters degree in instructional technology, health care administration, and English. I am working on trying to work my current skills into today's job market. That is more difficult than I anticipated. I guess I'm wondering if there really is anything out there to switch to? I feel lucky to have a job, but it is getting very depressing and difficult to get up for work.

like

Hey all, dad is visiting and needs to get a heart condition checked out (procedure isn’t available in India). Employer health plan doesn’t cover parents. Anyone familiar with the options we have?

like

Anyone have luck transferring to another office? May need to transfer to the Chicago office in the next year or less due to a parent having health issues? Currently a federal sector c.

like

How difficult is it to pivot out of healthcare? Applied to be a business analyst for current company (1.5 years in) but am more interested in different industries. Thoughts?

like

A friend opened up to me about her extra marital interest/dilemma surrounding that interest. She realizes her pattern due to some underlying issue she needs to resolve and is seeing a therapist, yet whenever we talk she goes into details related to this guy and about her dilemma. I have listened to her for 3 months and weighed in where I could, and I care about HER and her mental health. But if ask about her mental health she goes into stories about this dude. How do I establish my boundary? 🙏🏼

like

Hi Fishes! I am moving to the Dallas area and I am looking for new opportunities in healthcare. I’d like to transition out of consulting into industry. If you know of any opportunities please...

like

Alright which one of you came up with the PowerPoint Paul Ryan used to explain healthcare??

like

Which is better when it comes to MBB and healthcare technology / product companies (like Amazon) recruiting? Duke or Ross? Also any other consider in this bucket?

like

Best firm to work for that is making the biggest impact in healthcare IT and which city?

like

How long full cocaine is out if the system for life insurance tests?

like

What exactly do healthcare investment bankers do?

likesmart

I just started a new job a couple of months ago and it’s not a great fit. The health of the business wasn’t what they had led me to believe during interviews. I’m looking for new opps but how...

What’s the process after your weather insurance policy has been triggered?

Have an offer from PWC, currently at KPMG. Any thoughts from those been in both which may be better & why? Specifically looking within Healthcare, Hospital, Device, Pharma sectors.

like

I am a clinical mental health counselor and a credentialed alcohol and substance abuse counselor and am ready to graduate Emory law in 2 weeks with my Juris Master in Health Care Law.

There’s been a lot of talk about going vegan after that ‘What the Health’ documentary came out. I think the filmmakers took the vegan agenda a bit too far, but wanted to know if general meat consumption plays a big relation to cancer and chronic illnesses?

like

Additional Posts

On getting into FAANG. For those who made the switch, what are the typical roles from, say, MBB? How did you go about it? What's needed on the resume if I'm planning 12 months out? Lvl and pay?

like

New to Project Management. Today my company asked me to PM a new customer Project. The Project is assigned a team with a technical lead. My career so far has been in development, but I have already been a lead on projects where managers had little presence and I had to do a lot of customer interactions. However, I have never been present in a project kick-off and high level decision making processes. What do I need to find out on early stages of the discussion, and what to ask in onboarding?

like

Does PWC and Deloitte have dedicated application security pen-testing team? How much percentage of the time you guys travel? Do you work from home or based out of any particular location?

like

How do you deal with back pain? I tried all things that could potentially help like getting lumbar support, ergonomic pillow, stretching steadily throughout the day etc. I'm seriously concerned if it will be what blocks me from moving forward in my career. Typical hours ranging 60 to 70 and i know my back will only keep getting worse during WFH and it's out of control. TIA.

likehelpful

What are some of your favorite classroom organization supplies? (Bins, pencil holders, etc.)

like

Hi Fishes, I have got an offer from Wipro, was hired for an immediate requirement for some project named ELC. Does anyone know about this account? I confirmed from the HR that it is a support and development role and has only day shift. Just doubting the shift, I can't work in night shifts How is the work life balance in Wipro? Does they provide any reimbursement for WFH peripherals like Accenture does?

like

Hi everyone! I’m a young CPA, relocating to Raleigh. I made the decision to transition into sales after realizing that I want to bring more fun into my career. I’m currently reading sales books, watching Keenan’s YouTube channel, and learning all I can. I’m relentlessly applying for SDR positions but I’m having trouble landing interviews (been applying through LinkedIn). I would appreciate advice from anyone who transitioned from another industry into sales. How did you break the barrier?

like

How would you explain layoff to recruiters? I am interviewing for Salesforce role. Upon asking, I mentioned it was due to company restructuring.

like

Alaska airlines MVP Gold 75K status in here. I Booked an intl ticket using miles+$200. The flight is operated by AA. Can I cancel with full refund?

like

If you follow up after an interview - does this make you lose any negotiation leverage?

like

Anyone else look at their bank account/savings/investments during Monday morning travel to remind themselves why they do this?

like

Thinking of going to a country outside the US where I can stretch my dollar and live comfortably for a month or two while still working remote. Has anyone done this? Any location recommendations?

like

In the final round of interview with a San Fran startup that’s about to go IPO... but I know I’d be also giving up lots of the structures & project flexibility & diversity offered here at big 4. What rationale would you use to make a decision?

like

Delta flight delayed and will miss the connecting flight. Got put on a Alaskan flight. 2.5 delay to the destination. How many extra miles can I ask for? Not sure if it matters but Silver Med

like

Drafted doc per client request on Wed. Sent to manager for "required" review on Wed. Was due to client's boss Friday afternoon. Client just asked why she doesn't have it yet w/manager in ear shot. 😒

like

Are hours in FAANG/ big tech actually better than MBB?

like

~6 months into career from UG working in PE DD, I’m extremely interested in a small pivot to Restructuring & Turnaround. My firm doesn’t have this due to conflicts. Can any MBB🐠 chat about their team?

Epsilon is hiring for given engineering roles- Java Full Stack/Java BigData .Net Developer Scrum master Quality Engineer Product Owner UI/ UX Product Support Analyst AWS Devops If interested, DM for referral

like

What are some of the top boutique HR consulting firms (talent strategy, organizational culture, organizational development)?

like

New to Fishbowl?

Download the Fishbowl app to
unlock all discussions on Fishbowl.
Download Fishbowl to see what others are saying
That was just a preview…
Sign Up to see all discussions
  • Discover what it’s like to work at companies from real professionals
  • Get candid advice from people in your field in a safe space
  • Chat and network with other professionals in your field
Sign up in seconds to unlock all discussions on Fishbowl.

Already a user?
Login here

Share

Embed this post

Copy and paste embed code on your site

Preview

Download the Fishbowl app

Get realtime notifications and see
what's happening in your industry
from the palm of your hand.

For account settings, visit Fishbowl on Desktop Browser or

General

Legal