Insurance and Medication

Yesterday, I found out the insurance company, University of Chicago Insurance, decided to change my brother's medication dose from twice a day to once a day.  They sent no letter, did not contact his doctor or have a reason.  My brother takes several mental health medications in high doses which allow him to life his life crisis free.  He has been taking his medication at this dose for 10 years and has not had a crisis or been hospitalized.  This in itself is a miracle.  Now, the insurance company has put my brother at risk for a crisis with no medical backup or reason.   His doctor was also upset and wrote a letter.  I told my brother when he calls the company, to ask for the name of the person who made this decision.  There has to be a paper trail.  As usual the insurance company believes most people will cave in to the their changes.  I told him if he is given a hard time, I will call.  I will happily engage the insurance company. One thing I do know, the state Board of Insurances don't like when this happens and are very willing to help in persuading the insurance companies as to the errors of their ways.  Meanwhile,
my brother has enough medicine to cover him for a few weeks otherwise, he will have to pay out of pocket.   Let me say, that is not going to happen.   How often do the insurance companies play this game?  Way to often and with little resistance.   As patient advocate, I can help!  I will keep you update as to the interactions with the insurance company.

 

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