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home:mp:insurance [01.08.2013] – [Appealing a denial for Benicar] sallieqhome:mp:insurance [10.13.2018] – [Read more] sallieq
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   - The initial problem may be with the pharmacy, which sometimes has upper limits on the dose and frequency of certain medications. Sometimes this will need to be overridden by one's insurance company.   - The initial problem may be with the pharmacy, which sometimes has upper limits on the dose and frequency of certain medications. Sometimes this will need to be overridden by one's insurance company.
   - Other times all that is needed to override an initial denial is a phone call from the doctor's office verifying that he or she has determined that the prescribed dose and medication are exactly according to his or her wishes. Some insurance companies require that a doctor fill out a form, sign it, and fax it back to the insurer to obtain an override. This override is often good for one year.    - Other times all that is needed to override an initial denial is a phone call from the doctor's office verifying that he or she has determined that the prescribed dose and medication are exactly according to his or her wishes. Some insurance companies require that a doctor fill out a form, sign it, and fax it back to the insurer to obtain an override. This override is often good for one year. 
-  - If a doctor override is not sufficient, accept the standard amount of pills until the insurance company approves the increased dosage.  Patients can either start taking Benicar at the prescribed dose right away and hope that an eventual appeal will be successful in a short time frame or wait until the full prescription is filled.  For patients who run out of Benicar before being able to fill the remainder of the prescription, it is safe to stop Benicar abruptly **__early__ in the treatment** and start it again when the full prescription is approved.  +  - If a doctor override is not sufficient, accept the standard amount of pills until the insurance company approves the increased dosage.  Patients can either start taking Benicar at the prescribed dose right away and hope that an eventual appeal will be successful in a short time frame or wait until the full prescription is filled.  For patients who run out of Benicar before being able to fill the remainder of the prescription, it is safe to stop Benicar abruptly **early in the treatment** and start it again when the full prescription is approved.  
   - Contact the insurance company and ask if their doctors produced a letter of medical necessity would allow for full coverage of Benicar (see below).    - Contact the insurance company and ask if their doctors produced a letter of medical necessity would allow for full coverage of Benicar (see below). 
   - Ask for an explanation of the decision and the specific rationale why the claim was denied. The reason given will dictate the peer-reviewed papers and other materials presented to the insurance company.   - Ask for an explanation of the decision and the specific rationale why the claim was denied. The reason given will dictate the peer-reviewed papers and other materials presented to the insurance company.
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   * {{pubmed>long:15291377}}   * {{pubmed>long:15291377}}
  
-Efficacy of Benicar has been described in various conditions by a [[home:publications:waterhouse_annals_2009|forthcoming peer-reviewed paper]] in //Annals of the New York Academy of Sciences//. That paper will be available in the Fall of 2009. For a preprint – or for any other paper – ask on the [[http://marshallprotocol.com|MP study site]] or [[http://curemyth1.org|CureMyTh1.org]].+Efficacy of Benicar has been described in various conditions by a [[home:publications:waterhouse_annals_2009|forthcoming peer-reviewed paper]] in //Annals of the New York Academy of Sciences//. That paper will be available in the Fall of 2009. For a preprint – or for any other paper – ask on the [[http://marshallprotocol.com|MP study site]].
  
 ==== Letters to present to an insurance company ==== ==== Letters to present to an insurance company ====
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-{{tag>Starting_the_Marshall_Protocol}}+{{tag>MP Starting_the_Marshall_Protocol}}
  
  
 ===== Notes and comments ===== ===== Notes and comments =====
  
 +  * CureMyTh1.org references removed during transition to closing that site. --- //Joyful 01.04.2014//
  
   * Legacy content   * Legacy content
home/mp/insurance.txt · Last modified: 09.14.2022 by 127.0.0.1
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