United Healthcare Complaint - United Health I don't care Ins.
I have been getting the runaround from this "company" for OVER 4 months, that has paid out BILLIONS of dollars in lawsuits(last one was $594Million) ,that if they would use 1/2 of that towards us folk that pay in $$$ for denile of service, Maybe we could GET our preexisting meds!!!Or you can file an appeal(not done by a Doctor),then you can do a 2nd appeal after they shoot you down the first time. And DON"T bother asking for "copies of all documentation that was used to come to our decision".Cos then you get sent 2 or 3 letters sending you every thing you DIDN"T ask for.(lets waste 4 more months of my time),especially when I sent the last letter with, CC: Tx. Dept of Insurance on the bottem, to file complaint with them Then I got a complaint form from UHC hoping I'd go for a Civil case. I am a recovering alcoholic of 18 months as of yesterdayBefore my boss switched Ins. Co.'s, all was well and covered.After getting out of 6 days inpatient detox and 12 weeks (3hrs a day 4 days a week)My Psychopharmacolagist prescribed me an injection called Vivitrol.It blocks the receptors in my brain,thus elimination the alcoholic cravings and if I were to "back slide" and drink I would feel NO affect from the alcohol.Aetna(old ins.co.) covered on it the 1st prescription my Dr. wrote.Within 3 days the effects shocked me.I DID NOT crave alcohol for the first time in YEARS(i was drinking a fifth a DAY)! Then my boss switched to UHC.When I went to pick up my monthy Vivitrol to get my injection,I was informed that I need to pay my FULL $1500.00 deductable to receive 1 injection( The drugs cost through Alcomeirs(sp) Co.(that makes the drug )is $885.00.In my phamhlet from UHC it states "injections need to be administered by a Physician isexcluded EXCEPT for DeproProvera,a for of bith control that is placed under the skin and left there,my Vivitrol i sa simple injection.THEN in the same paragraph it state "this EXCLUDES pharmacuticals that can be obtained by Dr.'s prescription and picked up at a pharmacy."Well, my Psychopharmacologist Prescribed it 18 months ago,he write my monthly prescriptions and I pick them up at CVS Pharmacy.SO....... Contradiction of statements in the same paragraph.Question to all...would you rather ride around with a pregnant person,or someone thats DRUNK?? And if this drug can prevent that ,it's got my vote! If I as a single 53yr. old w/no children or family, HAD $1500.00 to spare,I WOULD get my medication and deal with the rest later.Its just UHC's runaround tactics are total BS.And hopfully if nothing else(there is a class action suit just for this exact tactic)Texas Department of Insurance will look into this matter.Thanks for listening,sorry I wasn't clearer earlier.Just SO frustrated!! Happy Labor Day all!! =]