Insurance bastard of the week: InformedRx
Sep. 4th, 2009 07:45 amSeveral insurance companies outsource their prescription-denying responsibilities to a third party. These third parties are created to make more red tape to stop or delay patients from getting medication they need. The third parties don't generate revenue. The insurance companies pay them based on the number of medications denied or delayed. InformedRx is one of these third parties.
This week's issue was diabetes test strips. Any diabetic can tell you that the test strips are the most expensive part of preventive care. (They cost a penny or less to make, and they usually sell for about $1 apiece.) The doctor prescribed 100 test strips for a 90-day supply. Test strips are sold in containers of 50 strips. InformedRx denied the claim. They said that they'll allow 81 test strips for 90 days.
Besides not covering the need, I can just imagine some poor pharmacy tech with tweezers trying to remove the extra 19 strips from the container.
This week's issue was diabetes test strips. Any diabetic can tell you that the test strips are the most expensive part of preventive care. (They cost a penny or less to make, and they usually sell for about $1 apiece.) The doctor prescribed 100 test strips for a 90-day supply. Test strips are sold in containers of 50 strips. InformedRx denied the claim. They said that they'll allow 81 test strips for 90 days.
Besides not covering the need, I can just imagine some poor pharmacy tech with tweezers trying to remove the extra 19 strips from the container.