Exclusions to Healt Plan Benefits

greenspun.com : LUSENET : Millennium Salons : One Thread

My husband is a cardiac patient. I need to find out how HMOs evaluate and grant exclusions to their standard 30 supply rule. Supply chains are at risk if the power grids are down and if he only has a 30 day supply he'll die. We need two 90 day prescriptions at some point this year to provide a 4 month supply as a cushion after 1/1/2000. The bottleneck is the HMO not the physician. Does anyone know how Aetna US Healthcare or HMO's in general handle this type of exclusion request.

-- Marilyn Gegier (mbgeiger@aol.com), January 20, 1999


Excellent question, Marilyn. Unfortunately, I don't know the answer. But I happened to think of www.rx2000.org. I'm not sure you'd find the answer to your question there, but it would probably be a good place to start, maybe contact someone through them who may be able to shed more light...

If you find the answer to that one, please let us know...!

-- Bill (billdale@lakesnet.net), January 20, 1999.

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