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by Nomadeon
497 days ago
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I've had BCBS reject prescriptions they've already pre-approved multiple times. First time, they denied all knowledge of the REQUEST (when my doctor has their APPROVAL fax in hand). Second time they acknowledged they had approved it but had to contact their pharmacy group to put in an "override".
I've submitted a complaint with the state insurance regulator though I doubt it goes anywhere. Anyone for a class action lawsuit on the grounds of bad faith breach of contract and medical malpractice for obstructing access to care they already admit is medically necessary (by denying something already pre-approved)? I don't even want money. I want a Consent Decree enforced by the court that strikes fear across their whole industry. Audio record every interaction you have with insurance and tell 'em you're on a recorded line. |
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This has been tried before and failed. The insurers argument is that they are not denying care, they are just not willing to pay for it, which isn’t practicing medicine.