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Re: Pdoc /Insurance Fight about Sleep meds-VICTORY

Posted by susan C on September 24, 2001, at 18:29:02

In reply to Pdoc /Insurance Fight about Sleep meds, posted by susan C on August 10, 2001, at 18:27:54

My medical advocate (husband) wrote a very pointed letter to insurance asking why a doctor who had never seen me was giving medical advice. Copied my doc. Just received a letter from insurance oking Ambien as maintenance (which means 100% coverage, equals about 10$ savings for me a month in co-pay) hub, likes a good fight...when went to pdoc, first thing he said, was 'very good letter, couldn't have written it better myself' End of story. Thanks for all your imputs...liked the use of term 'idiot'...took me a while to find this thread so I could be consistant.

proud mouse
susan c

> Ok, I am on Ambien for sleep, tried Sonata. pdoc said, they are best to try. Sonata didn't work long enough. I take it every night. I asked him about if there are any long time problems, no says he. It is so nice to be able to sleep all night. I apply for maintainence coverage at insurance, they have a 'independent consulting medical doctor' Who says, NO to Ambien, says there are other sleeping meds I can use. Now, I am curious to see the Battle of the Doctor vs the Insurance Co. This sounds like the Insurance doc telling my doc what to prescribe....Two questions:
> 1: what other sleep meds are equivalent to Ambien
> 2: anybody out there had a similar experience with doc/ins co.? what happened?


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poster:susan C thread:74536
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