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Prescription Drug Coverage For Acne Meds


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#1 melissa6980

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Posted 22 January 2012 - 08:46 PM

Does anyone know of any prescription drug plans I can get that would at least partailly cover acne meds (like generic differin, retin a, generic accutane)? I have Dean's individual health plan that I pay for myself every month (and it's good medical insurance that I like) but I have no prescription drug coverage. When I tried to add the Dean prescription drug rider last summer, my "request was declined" because I've been treated for acne and anxiety in the past. Grrrrr. So, I've been looking into trying to find just a prescription drug plan and I thought while I was at it I'd love to find a drug plan that would pay for prescription acne drugs.

Thanks everyone

#2 melissa6980

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Posted 24 January 2012 - 02:27 PM

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#3 titoziot

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Posted 25 January 2012 - 01:09 PM

I don't have one to recommend, but I'm surprised that you were denied based on previously being treated for acne/anxiety. Because I have been also, for years. I have GEHA through my mother, which is the government health insurance through MedCo. I get generic accutane for 5$ a month. They cover about 320$ of it. This was also the case with all the other acne presciptions I had that I can remember. I would try looking into MedCo. GEHA is for government employees only, but I would assume they have similar plans for individuals.

Also. I don't think calling an insurance company about what they cover would help you. They don't tend me to be very receptive to letting you know what they will hypothetically shell out loads of money for. There are tons of independent medical insurance brokers around that might be better. Local ones, I mean. They get paid based on how many people enroll, so they should be a lot more willing to give you good answers about this.

I went through one of these to get coverage for womanly exams after I had a series of abnormal PAP tests come back. They didn't let me break the rules, but they gave me advice on how and where to find coverage that I wouldn't have been able to get calling an insurance company directly. On that note - be careful about what you say directly to insurance companies, because it can hurt you in the future. In my case, I had said something about an abnormal test that they didn't have on file, or didnt know or something, and one company held that against me when I tried to sign up for a new plan. The insurance broker I worked with advised me to do a few things outside of an insurance plan that looked good when I finally applied.

I hope some of this helps. Good luck :)

#4 melissa6980

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Posted 25 January 2012 - 04:11 PM

Thanks. Yeah, it was annoying. And it was SOCIAL anxiety too so basically shyness which was treated with talk therapy more than drugs. I think calling the insurance company to find out how it was progressing and if they got my form didn't help me. I may try again when my plan comes up in July just for the heck of it and make sure to note how long it has been since I've been using prescription drugs, since I haven't been on any prescriptions for a long time.




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