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Re: ADDERAL vs. Insurance Companies :: NCC4200

Posted by NCC4200 on March 24, 2001, at 3:43:54

In reply to Re: ADDERAL vs. Insurance Companies :: NCC4200, posted by kazoo on March 23, 2001, at 22:41:46

> > After getting your insurance carriers' policy on this drug, preferably in writing, have the prescribing
> > doctor write to the insurance company stating that the drug is medically necessary.
>
> ^^^^^^^^^^
>
> This advice is good and will usually work. The very same situation happened to a friend of mine who has ADD and tried to get her Dexedrine prescripton filled. She has a 20 dollar co-pay but the insurance company would not honor the script, so she had her doctor CALL the insurance company who, very professionally, ripped them out a "new one" (if you catch my drift).
>
> Let me give you some info re. insurance companies/the gov't and stimulants, SPECIFICALLY the amphetamines. Since the 1970s, the Federal Government has been trying to get ALL amphetamines off the market, declaring them medically useless, addictive, etc. etc. They failed miserably because of the hard work of the American Narcoleptic Association. You can thank the ANA for working to keep this genre of drug around. I don't know if this is still true, but amphetamines were banned in Wisconsin in the 70s, and I believe Sweden has banned all stimulants, targeting in on Ritalin.
>
> This is the same government that freely allows, condones and even encourages the use of alcohol and nicotine.
>
> (a stimulated) kazoo


It's amazing how many Doctors and Insurance Companies < so called "professionals" >, Do not know what the hell they are doing. The last group of Doctors totally messed up several times, First starting me on Lithobid < Lithium >, without ordering blood tests to establish a baseline and monitor the titrations of LIthium into the system. Then after I complained thru patients rights < a totally useless group of people >, the doctors came up with a new policy. Anyone whom is prescribed Adderall, must submit to drug testing before any scripts are written. ( And it is the County Mental Health Department also.)
Now that I am enrolled with a new insurance company, they wont cover the Adderall, which I have been taking for over 4 years.
Dont they know that it is morally wrong to < supply your own colorful metaphor, limit to 4 letters >, abruptly stop giving medically necesary meds, especially to someone that is Sever ADHD. Not to mention what it does to your system. In less then 4 months, they have totally destroyed any progress I had made in the last 4 years.

And now that I have new insurance, I cannot get the meds I have been prescribed for so many years - And i even went to the same pharmacy that i have been going to for all these years. Sav-ons was nice enough top print out the prescription final review, showing the insurance companies comments:

" 76 - EXCEEDS PLAN LIMITS, MAXIMUM PATIENT AGE OF 18 "

Did I miss a physiological metamorphosis when I turned 18, that automatically adjusts the Brain's Chemistry to correct the biological and / or chemical imballance.

Does anyone know if this is a case of Discrimination, or if it is against the Americans with Disabilities Act? If so, where does someone get help.........


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