This is topic Insurance won't cover Bicillin. Anybody know where to buy at more affordable price? in forum Medical Questions at LymeNet Flash.


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Posted by hildy0521 (Member # 25133) on :
 
Does anyone know where I can get Bicillin at a more affordable price? My insurance won't cover the injections.

Thanks!

Hildy
 
Posted by jasek (Member # 12395) on :
 
hildy I am sending you a P.M. Jasek
 
Posted by blinkie (Member # 14470) on :
 
Mexico, I hear...from my Dr, actually!
 
Posted by WildCondor (Member # 434) on :
 
Ask your doctor to write a letter of medical necessity to give to your insurance company.
 
Posted by jasek (Member # 12395) on :
 
Wild Condor, I have been doing that for years and just kept getting rejected.Never could get a resonable explanation except something about "reformulation" All I remember is that it cost me 35.$ every time my Dr. submitted a letter.
 
Posted by lou (Member # 81) on :
 
Can you appeal this decision in your state? Many states have independent appeal procedures, but you have to go thru the ins co appeal procedure first. There are definite steps to take, read your contract.

Also, the CALDA/Lyme Times website has a special issue on this subject.
 
Posted by momofthree (Member # 19490) on :
 
Please contact these people. They are working with Dr. Burriscano to help Lyme patients find affordable meds. They will work with your insurance company or without. I got my IV rocephin down to $22.50 a day. They are now checking on a price for the mepron my daughter is on. www.hometech-rx.com
 
Posted by momofthree (Member # 19490) on :
 
I forgot to add that this is an american company sending us american medicine
 
Posted by Rumigirl (Member # 15091) on :
 
My insurance company wouldn't authorize it either (and I couldn't get it without preauthorization). Ridiculous! BUT, when I asked, they said if I bought it out-of-pocket, and submitted it under Medical, not pharmacy benefits, they would cover it 100%!

You could ask if it's the same with your company. If so, ask to have it in writing that it will be covered that way. \\Or maybe you could get it covered through Medical, but have the pharmacy bill the insurance company.

Otherwise, fight this!
 
Posted by Sammi (Member # 110) on :
 
Hildy, make sure you find out why they won't cover it. My insurance also said Bicillin shots were not covered. When I asked further they said it wasn't covered because it is not a self-injectable med.

After more questions, I learned that it would be covered if and only if I went to a doctor's office to get the injection. Not convenient, but this is what I did to have it covered.

Ask questions. They may not tell you how it could be covered unless you ask.
 


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