Posted on 01/10/2015 7:46:34 PM PST by Morgana
Model_of_a_contraceptive_pill,_Europe,_c._1970_Wellcome_L0059976
[Photo Credit: Science Museum, London. Wellcome Images images@wellcome.ac.uk http://wellcomeimages.org]
College student Emily* was satisfied with her birth control pill. Her doctor settled on the current formulation after trying Emily on several prescriptions. The final one improved her chronic headaches rather than making them worse and helped clear up her skin. (*Her real name is not used for privacy reasons).
So Emily was surprised to find that under the Affordable Care Act (ACA), her insurance company rejected payment for her pill. She was especially mystified since the ACA mandates birth control coverage.
“It depends on the birth control,” the pharmacist explained to Emily.
When Emily raised the issue with her insurer, she was told her doctor should call and explain why the formulation she’d been taking was medically best for her. The doctor obliged.
A few days later came word that the insurance company rejected the doctor’s plea.
The next step was for Emily to file a formal appeal.
The appeal letter explained that if Emily were forced to change prescriptions, she could well have to add a separate, new prescription for her headaches and another for her skin. In the end, that would expose her to potential side effects from three medicines instead of one. Three prescriptions would also presumably cost the insurance company more than one.
It took more than three months for the insurance company to send word that it rejected Emily’s appeal.
Birth Control Coverage Loophole
(Excerpt) Read more at sharylattkisson.com ...
Maybe Obamacare has to meet the guy she wants to sleep with first, in order to make an informed medical decision?
Sounds like what Obama wants is to get women cornered so that their only option left is to get an abortion.
Who provides her Kotex or Tampon products?
what about the little man?
I'd like a tank of gas, some warm wicking socks and a bag of charcoal briquets. Doesn't anybody care?
those pills with newer hormone mixtures are a lot more expensive because they aren't generic. These are used for acne, or for women who spot or have side effects on the generics.
When I was placed on the pill for ovarian cysts, I became a complete B.....
But I could take the newer version without those problems. Luckily I only stayed on them a few months.
And often newer more expensive medicines are better...only have to take them once a day, or don't make you as sleepy etc.
but we run into these problems all the time. The experts insist generics are just as good, but if they are cheap generics, who can tell? And the side effects of medicines are often underestimated.
The problem of substandard generics and counterfeit medicines are a major worry here in the Philippines.
My wife was on some BC pill to stop her continuous bleeding (menopause thing). It helped, then it didn’t and they did a procedure that sort of helped, then the pill again that did help. (Goofy stuff).
Anyway - just got a letter from our plan that the pill she was taking, and may need to take again in the future, will not be covered. “But - there are many other pill options that are covered.”
Except it is this pill with whatever hormone thing in it that works for her condition.
Maybe if she says it is for a sex change it will be covered?
While this rejection is bad medicine, I love it. Obamacare is bad medicine, and it’s nice to see that it’s just as harmful in the one area it claimed to get right as it is in all other areas.
My daughter tried to fill a prescription for a generic medicine, and it also wasn’t on the “list” of approved treatments. We were all self insured, prior to our cancellations.. all generics had been $15 bucks on our old insurance. We are now on a blue cross plan that is obamacare compliant -_-
That tramp Emily!
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