This article talks about checking to make certain that the doctor prescribed the medications that they will pay for, but they don’t tell you that even if a doctor prescribes a medication that isn’t in the insurance company’s formulary, you can’t get it. They won’t pay for it, and even worse it doesn’t go into the “out of pocket” expenses to get you out of the donut hole. They’ve changed “out of pocket expenses” to “true out of pocket” expenses which means if they don’t have it, they pretend you didn’t pay for it!

The Centers for Medicare and Medicaid Services (CMS) and its prescription drug plan sponsors “have not adequately performed one of the most basic oversight checks in Medicare Part D–ensuring that a

Posted via email from hopefulhealer’s posterous