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PostPosted: Fri Jul 11, 2014 2:11 am 
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Wow..... I never thought getting help and Trying to do the right thing by me and my family would be sooo difficult and put me in such a stressed state of mind... Ok first things first when I went to my doctor I gave him my insurance which is WellCare to fax the pa... Had to wait till next day to fill script which was fine.. The pa got
Approved but when I went to get my script I found out that I have other insurance which I did not know of.. Come to find out I do have other insurance which is my primary and WellCare is secondary so they wouldn't fill anything without my primary paying for something so I again had to wait on another pa which took 72 hours to go through just to get denied... This happened after my second dr. Visit, my primary insurance feels I have other options instead of suboxone that they'll approve like zubsolv but I'm uninterested because I'm already started on the films and would like to continue with the path I'm on.. So anywho I called my secondary insurance to see if il have any problems filling my script this 3rd time where my primary denied the pa and won't pay anything but the man told me no everything will b fine.. So I go to fill my script and the pharmacist tells me both insurance companies denied pa..which I had already informed them on my primary denying my pa but WellCare had approved it 2 weeks ago until sept.26, so the pharmacist ran it again.. While he did that I called WellCare to see what was up and why I'm having problems yet again getting my script filled when you told me I was good.. Well they then connected me to the
WellCare pharmacy and the woman who by the way was soooo very rude.. Told me that she would have to contact my insurance to confirm the pa being denied and then contact my pharmacist with the ok to bill WellCare.. She then proceeded to tell me that her phone call to my primary would take a couple hours but they were
Closing soon (in 3 hours if that's soon) so it would be either tomorrow or the next day before they contacted my pharmacist..
So here I was again without my insurance doing anything and me having to foot the bill for my script yet once again.. Thankfully my pharmacist worked it around for me and I got that script for free, thank god..
After Handing out a hundred dollars once a week to my doctor I don't have another hundred to buy my script... I'm sooo scared that WellCare is going to talk to my primary and they will tell WellCare that there is other options their willing to pay for and WellCare will make me do that instead of the suboxone and I really don't wanna have to wait on any more prior authorizations... I don't understand since WellCare already approved my pa until sept. 26, why they can't just foot the bill
For it..? My primary denied that's why I have a secondary right? I'm sooo confused and neither insurance will help me out at all.. Anyone else going thru what I am?!!!


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PostPosted: Fri Jul 25, 2014 2:59 pm 
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Is your primary United Healthcare? Because they are requiring that all of their suboxone patients switch to zubsolv. It's actually fine for me. So far I can't tell a difference between the two, but I certainly understand why you would want to stick to the strips.

Insurance companies are SOOOOOO frustrating sometimes, so I totally hear you on that. I hope that, if you persist, your secondary coverage will pay for the sub. I honestly believe that only the persistent people ultimately get the coverage they need and deserve. And I think that insurance companies are set up that way. They make people jump through a certain number of hoops knowing that only some will see it through and they save their companies money that way! It's pretty disgusting!

Sorry it took me so long to find your post!

Amy

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PostPosted: Wed Aug 13, 2014 6:58 am 
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I have a love/love relationship with my insurance, United Healthcare. I love them during the times they cover the costs of my meds/doctor's visits and hate them when they pull that PA BS crap. I'm currently going thru something similar and I've also been getting the "It's approved! Oops, nope sorry, my bad!" insurance-doctor-pharmacy runaround. The difference is I actually saved some money in order to be able to pay out of pocket for mine just in case there was an issue with the PA but my pharmacy told me that if you have insurance they cannot allow you to pay out of pocket for the prescription which would have solved my issue the first day but, luckily, like you, my pharmacy gave me some of my script for free. Not the whole thing just enough to get me through the week until the PA could have time to go thru and be approved but I have to wait until my allotted days of the meds they gave me are up according to my written dose before they can fill the rest or it will be denied as an early refill. Insurance companies make me want to pull my hair out and scream. They make up jump thru so many hoops it's a wonder there's not more people getting frustrated enough to go back to using. :(

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Dr. Jeffrey Junig, M.D., Ph.D.

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