17 upvotes, 1 direct replies (showing 1)
I hadn't heard about this, thank you. Last week UHC sent me and several of my coworkers letters telling us that they weren't going to cover out meds, I'll have to call them Monday and put up a fight then let my coworkers know to do the same.
Also time to start a petition to tell corporate to get us off UHC.
Comment by elastic-craptastic at 08/12/2024 at 10:29 UTC*
3 upvotes, 1 direct replies
Always getting denied and needing a pre-qualification from a doctor has become a standard but only after a fight with the company will someone be approved. By fight I just mean sitting through their b******* calls and arguing it and wasting your time and the doctors time. Now I don't know about major things like surgeries and chemotherapy but when it comes to prescriptions and pre-approvals this is always been the case for me and I've had 17 surgeries. I've been to the emergency room more times than I've count with an average of about 4 to 6 times a year in the last 30 years. But somehow they always want you to call to get something approved even though the doctor prescribed it and it should be approved no problem. In my world it's just known that they will always try to deny to save money and they are betting on people not wanting to spend the hours on the phone and on hold or their doctors won't want to spend the time or money on hold to get the medicines that are prescribed to their patients. It's just a fact of life in my world. Again I don't know how it works with larger procedures as they've almost always been covered for me and looking back there's a few times where I think the doctor's office had had to fight on legitimate procedures. I'm not talking about ones where dental procedures were attempted to be covered by Medical because to me that seems like a loophole kind of issue but I'm talking about Orthopedic surgeries or physical or occupational therapy. But when it comes to medications they will try to deny deny deny but every time someone sits on the phone it always gets approved. Well almost always. And that's for all insurance companies as long as it's prescribed by a doctor it should be covered