I work in the medical enclosed space and have never hear such a thing! I am 27 and surrounded by good robustness, except I have have severe heartburn for years.My Dr told me during my yearly physical that she feel I needed to be on a stronger medication and wrote me a prescription.She told me at the time of the exam that she "fully expected" insurance to "fight her on this" because of my age and condition i.e. not common.She also said at that time that it would be no big do business, "just enjoy the pharmacy call our department and we will get that paperwork going". I dropped bad the Rx last Friday and be told to check back contained by 3-4 days.Yesterday was Wednesday and the pharmacy have not heard anything. Today I call the Dr's office to hear if they have heard anything on the other hand from the insurance company and they told me that there be a not on my chart stating that I had two option. I could either dance back on the prescription I was previously on, or discharge a $15 charge for them to start my precert. Has anyone dealt near this?

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Answers:    F#@K NO!!

Sorry if I seem overly passionate, but I had to speak beside my insurance company twice this week.
(Personally, I think things are on the way because I was competent to control myself after each conversation. Resisting a strong desire to break cup or kick an goal apart I left my house after respectively call and walk around the block 10 or 15 times to calm myself. Please know that I seldom become upset and I never yell or loose my resentment. However, as a result of personal experience I now enjoy the same contempt for insurance companies that I own for drunk drivers and drug addicts. No situation what you do someone is always going to achieve hurt.)
Anyway, now that I own vented my frustration I will answer your examine in a logical and relaxed behaviour.

I have AD/HD (without hyperactivity - I sometimes own mild anxiety, but I rarely ever become upset.) Anyway, I am up to date with what you are taking something like because Adderall is a controlled substance and I had to hold pre-approval before they would imbue the script because I am over 21.


The Answer to Your Question:

First: Is your doctor a participating physician with your insurance company? (Essentially, do you foot the clerk your insurance card and a co-pay fee and his organization handles adjectives the paper work.) If so the doctor's organization may be contractually prevented by the insurance company from charging additional fees bar the co-pay. If not the doctor can set whatever policy she requirements. You can call your insurance company to find out. Asking a broad question something like your policy will not cause any problems. I hold found that insurance companies do not like to reimburse claims, but that they are great at quoting regulations.

Second: After talking to the insurance company I would phone call the doctor's office and ask to speak to the bureau manager or claims specialist. (If possible, do not bring up to date the doctor about this. At most minuscule not until the issue is resolved. It sounds like you trust her and it is contained by your benefit to maintain a appropriate relationship.) I would talk nearly the fact that at hand is no point in going to the doctor for a diagnosis if you can't receive a treatment and how the dearth of a return phone call cause a delay contained by treatment. (I would not ask why the pre-cert was not started instantly when the script was written. Most insurance company's will not provide a pre-cert application # until they hold denied the pharmacy permission to compress the script.)

Ultimately, I believe that the office checker owes you an apology for not calling you back at the time the make a note of was clipped to your chart. I also give attention to that you will find that the doctor's office is not permitted to charge you a pre-cert payment. (Possibly the insurance company, but not you.) If you have already remunerated the fee it should be refund to you or credited to your statement against future co-pay charges. (Although I have a sneaking suspicion that that someone in the department made a mistake, please be kind, these poor those have to traffic with insurance companies 40 hours per week.)

I know that this sounds approaching a lot of work, but within my case I am not as athletic as you. My primary problem is a hypothyroid condition that has cause a number of other problems. If I did not check, recheck and dispute I would be overcharged several hundred to several thousand dollars per year.

Please choose a best answer and consent to us know how this was resolved or distribute me a quick email. I would close to to know for myself for future suggestion. Also, I don't care more or less the points, I have begin to think that they are stupid and even injurious, at least surrounded by regards to medical proposal. Some people seem to be to make this into a competition and I conjecture that it is wrong.

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One Update:
If you do decide to switch to a spanking new doctor, please, first read my answer to this question.
http://ca.answers.yahoo.com/question/ind...
Yahoo! Canada Answers - Do you trust your physician?

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Also, it would be great if you allowed email. I take to mean that you may want privacy, but create another account and check it once a week. That course people can contact you if they enjoy important information in relation to a serious question.
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adjectives the time, that's usually the amount of a co-pay for an office call in, this way they can obtain paid for "treating" you. I be recently charged 40.00 at my doctor's department (in addition to the 15.00 copay for the insurance,) simply to fill out a form for my charge.

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