(Closed) Completely pissed off!!!!

posted 5 years ago in Emotional
Post # 3
Member
7293 posts
Busy Beekeeper
  • Wedding: October 2011

Is that grounds for false advertising? lol

Wow, that is shady! maybe the letter was a mistake/fail, and a bunch of people got them?

Post # 4
Member
79 posts
Worker bee
  • Wedding: March 2014

Holy canolli! I’d be pissed the frack off to! At least you don’t have my insurance. They won’t cover bc at all unless you are damn near dying! It took 4 yes, 4 months to get them to approve my bcp! Ours in catholic based but still, women, such as myself take it for other reasons other than pregnancy prevention. Things that do not beling in a uterus…the goverment, politics and insurance companies. Our vaginas, we should do what we want! I hope you get it straightened out.

Post # 6
Hostess
3381 posts
Sugar bee

@jilliebean:  Without meaning to threadjack, what do you mean by the government regulating BC?  Is it not readily available in the US?  It’s ‘free’ in UK (subsidised by government/paid for by taxes) to reduce unwanted pregnancies as well as other reasons you mention and pretty much anyone can get it.  Even girls under the age of 16 (age of consent) can get it. When I first went to get it at 17 (for both BC and to help relieve my periods) I said I realised I was young and my doctor flippently told me that he’d had a 12 year old in earlier that week and it wasn’t a big deal.

Your insurers sound like they deserve your earful, I’m privately insured (since I don’t need to have insurance in the UK) and they’re useless!

Post # 7
Member
5390 posts
Bee Keeper
  • Wedding: December 2010

That is insane! I hope everything is straightened out soon. Why did the pharamacy tell you that they would have the generic Nuva Ring if it doesn’t exist?

Post # 8
Member
4664 posts
Honey bee
  • Wedding: August 2013

@ladyartichoke:  No, it is not as available as it is in the UK. You need a prescription for any type of hormonal BC, and in most cases, under the age of consent you need a guardian involved. (That’s not a legal thing I don’t think, though, it’s just that most OBGYNs I know of require it. There are women’s health clinics where it’s a bit easier I believe.) And the general rule about any healthcare in the US is that NOTHING is free. 

Post # 11
Member
235 posts
Helper bee
  • Wedding: October 2013

The Nuvaring patent doesn’t expire until April 2018, and that’s the earliest that a generic would be available, so that doesn’t make sense that your insurance company would have sent you that letter. I used to work in pharmacy, and my dad is the head of the pharmacy benefits department for a major health insurance company (which is why I understand this process to begin with); the only thing that I can think of is that maybe they meant that the Nuvaring was being moved to a different tier in your prescription benefit plan, and you had 2 months to change birth control or you would have to pay the higher price?  The wording of their letters can be misleading sometimes. This happened before with one of my son’s medications with BCBS in the past. 

According to my dad, what happens is the insurance companies have contracts with certain drug manufacturers, and if those contracts expire or they can no longer get discounts or good deals on the medications from that manufacturer, or if something similar comes out (I’m not familiar with birth controls to know if there is a similar option to Nuvaring as I don’t have to take BC myself) from a company they have a contract or better price with, then they will often try to get you to switch medications so it costs them less money, or bump your copays up to a higher copay tier to cover the extra cost.  This may have been what happened. There may be nothing you can do (for example, there is no alternate to Nuvaring or they will want you to switch to something you don’t want to take, like an oral BC pill) or it may be a case where you can get an authorization through them by having your doctor write a letter stating you cannot take alternate forms of BC, but it depends on the company and why they are doing it (and it is rare to get a tier price lowered due to authorization alone :(.) I hope you are able to get some answers from them when you call, and I’m sorry you are going through this. Insurance companies can be such a pain in the a$$ sometimes.  I, for one, am tired of my premiums going up huge amounts every year 🙁

Good luck!

Post # 12
Member
958 posts
Busy bee

I just switched BC pills for that reason. YAZ was no longer in the “new” stage, so it was about to double in price, but the generic made me feel … off. So I switched to Beyaz (Yaz + vitamin B) so basically the same damn thing, but since it’s still “new” its cheaper. I’m sure in 4 years I’ll have to switch to Ceyaz or something stupid thats still the same fricken thing.

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