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» LymeNet Flash » Questions and Discussion » Medical Questions » insurance coverage for bicillin?

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Author Topic: insurance coverage for bicillin?
m0joey
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Member # 13494

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Hi,

I've read a few ppl say that they have coverage for bicillin shots. I have cigna PPO and they won't cover it under pharmacy benefits, and I'm trying to have the doc that administers the shots give me a claim form for their direct purchase from the manufacturer, but they barely covered that too.

I thought I had very good insurance. How is everyone getting bicillin covered?

thanks,
joey

Posts: 713 | From Los Angeles | Registered: Oct 2007  |  IP: Logged | Report this post to a Moderator
merrygirl
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I am interested to hear this as well...

Up for help

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davidx
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Member # 8326

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I have Cigna PPO insurance with a pharmacy plan under Caremark. I order bicillin through Caremark and it is delivered through the mail. My copay is $25 for a 3 month supply of bicillin.

What's strange is that if I go to my local pharmacy and order it there I get charged $45 for a ONE month supply! This is why I do the mail order...it is a lot cheaper.

--------------------
Same nightmare, different day!

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Doomer
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My Cigna insurance covered IM Bicillin LA under a MEDICAL BENEFIT not a pharmacy benefit. Alot of IM meds are covered under a medical benefit not a pharmacy benefit.

Call Cigna and speak to someone in specialty pharmacy regarding the Bicillin being covered under a medical benefit. You may have to talk with several people before you get someone who knows what is going on. Insist on them checking if it is covered under a medical benefit NOT a pharmacy benefit. You may also call the Cigna mail order to check coverage status.

Mine was sent to me in the mail via cold chain distribution through Cigna speciality pharmacy.

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m0joey
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thanks guys!!!

If only I'd known this before... I've spent about $1000 out of pocket on bicillin. Now it should be 100% covered through the tel-drug program (via medical benefits you're right!) This definitely takes some digging, so hopefully others can save time/money with this info

-joey

Posts: 713 | From Los Angeles | Registered: Oct 2007  |  IP: Logged | Report this post to a Moderator
   

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