I am new to this forum, but I really need advice.
I have been on Copaxone for years and at some point some years ago (at least 3-4 years) my insurance (Anthem Blue Cross) told us we had to use Curascript mail order pharmacy at which point we were switched to 90 day supply at a time refills. We have not had any issues since.
When I went to order something from Curascript yesterday, I was informed that my account was "flagged" because insurance has not paid for my last 2 90 day supply shipments ($25k of meds) because they require us to order 30 day supplies instead of 90 days.
I called insurance and they say that they do require 30 day supplies and had they been sent as 30 days they would have paid.
I am physically ill (to say the least) cause I am concerned they might come after us for the $25k. I have absolutely no problem ordering 30 day had we known. I was under the impression that it was the pharmacy's obligation to check to see if they would cover that before sending us a shipment. Specially when we have been ordering 90 day supplies for years w/o issues.
The account statements from Curascript are still showing the $25k as insurance responsible, but the account statement does read at the bottom "You may be responsible for any amount not paid by insurance. We suggest you contact your carrier to expedite payment or if you wish to dispute your patient responsibility". In a way I want to wait and see if Curascript says its my responsibility, but I am afraid that because its such a large amount it might be immediately turned over to collections.
When I spoke to Anthem's person they said Curascript should not have dispatched it. Is this Curascript's responsibility? Am I liable? Anyone experienced anything similar?
I have been on Copaxone for years and at some point some years ago (at least 3-4 years) my insurance (Anthem Blue Cross) told us we had to use Curascript mail order pharmacy at which point we were switched to 90 day supply at a time refills. We have not had any issues since.
When I went to order something from Curascript yesterday, I was informed that my account was "flagged" because insurance has not paid for my last 2 90 day supply shipments ($25k of meds) because they require us to order 30 day supplies instead of 90 days.
I called insurance and they say that they do require 30 day supplies and had they been sent as 30 days they would have paid.
I am physically ill (to say the least) cause I am concerned they might come after us for the $25k. I have absolutely no problem ordering 30 day had we known. I was under the impression that it was the pharmacy's obligation to check to see if they would cover that before sending us a shipment. Specially when we have been ordering 90 day supplies for years w/o issues.
The account statements from Curascript are still showing the $25k as insurance responsible, but the account statement does read at the bottom "You may be responsible for any amount not paid by insurance. We suggest you contact your carrier to expedite payment or if you wish to dispute your patient responsibility". In a way I want to wait and see if Curascript says its my responsibility, but I am afraid that because its such a large amount it might be immediately turned over to collections.
When I spoke to Anthem's person they said Curascript should not have dispatched it. Is this Curascript's responsibility? Am I liable? Anyone experienced anything similar?
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