Insurance NOT paying for your thyroid meds?

[stella5349]

I am wondering if anyone is having trouble getting their desiccated Armour or Naturethroid paid for by their insurance company?

Merek Medco RX is toying with these meds and trying to get them removed from being scripted.

Amyone having issues?

I have Merek Medco and they are not touching a blasted RED DIME on my script anymore!

[stella5349]

The only med they look at for thyroid is generic Levo - not even Synthroid. And no Cytomel either.

Oh - I'm fighting them - but in the mean time - I just pay for EVERYTHING out of pocket.

[hopeful2006]

I never understand why they do or why they don't --seems they have a reason but it never makes sense...jsut when I think it will be, it isn't, and vice versa.  My tapazole is, which shocked me.

[skeeterknitwit]

I think I would appeal that one.  Usually, the only time a med is not paid by insurance is when it becomes "over-the-counter".  Like Zyrtec for allergies.

I know someone who had a heart attack and was life flighted to the nearest hospital for by-pass.  His insurance refused the $40K claim because it was not a network facility.  The network hospital has no cardiac care.  He won the appeal, but it was a fight to the finish.

[stella5349]

Yeah - but it won't work.... the are not ulilizing natural desiccated thyroid meds anymore.

[skeeterknitwit]

You might try asking them for a "gap exception".  Since you've tried synthetic and it didn't work.
I'm not on Armour.  The big issue with my insurance is using the network providers.  Insurance just stinks!