I just switched my plan on the marketplace, and the new plan covers a drug that wasn’t covered under my old plan. It was prescribed by a specialist who isn’t in-network on the new plan. She will refill the Rx without seeing me if I email a request. Would the insurance company deny coverage of the drug because she’s not in-network? They don’t cover specialists before the deductible, so it would probably be cheaper for me to just pay full price for the drug than to see an in-network specialist to get it covered…
submitted by /u/PickleChickens
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I just switched my plan on the marketplace, and the new plan covers a drug that wasn’t covered under my old plan. It was prescribed by a specialist who isn’t in-network on the new plan. She will refill the Rx without seeing me if I email a request. Would the insurance company deny coverage of the drug because she’s not in-network? They don’t cover specialists before the deductible, so it would probably be cheaper for me to just pay full price for the drug than to see an in-network specialist to get it covered…
submitted by /u/PickleChickens [link] [comments]Read Morer/HealthInsurance