What to do if my insurance company sent me a letter declining a medication prescribed by my doctor?
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What to do if my insurance company sent me a letter declining a medication prescribed by my doctor?
The letter states that the a, “clinical reviewer” concluded that I did not take 4 other types of medication first, which I know they can do — but then went on to say, “records do not show that you have taken your drugs at the recommended times” and, “… Do not show that you have changed your diet and lifestyle to help reduce acid reflux”. Would this not require a violation of my HIPPA rights to collect this kind of information? This seems illegal to me.
Asked on April 19, 2014 under Insurance Law, Kentucky
Answers:
FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney
Answered 10 years ago | Contributor
Based upon what you have written, you need to consult with your treating physician who prescribed you the medication that was declined to see what can be done to sort out the problem. If that does not resolve matters then you should consult with an attorney that does insurance law in your community. One can be found on attorneypages.com The information desired would not be a HIPPA violation.
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