Express Scripts Inc. ~~PRESCRIPTION DENIED 1-DAY BEFORE SURGERY~~~ St. Louis, Missouri
One day before my wife is scheduled to undergo surgery, Express Scripts refuses to pay for the pain killers prescribed by her doctor on the basis that there are cheaper alternatives.
Our doctor called to explain that there are no alternatives without detrimental side effects and he insisted on this medication. Express Scripts still refused to cover it.
Instead of relaxing the day before surgery, we have spent hours on the phone getting bounced to different departments and a full blown runaround. Even the appeals procedure the have put in place is designed to deter you from fighting their verdict. I must now have my doctor take time from his busy schedule to write a letter explaining why he insisted on prescribing the medicine. We then have to send it to them via snail mail and wait for their comittee to decide.
Long story short, we don't have a choice but to pay for the medications out of pocket. It is no wonder there is a nationwide debate on healthcare and reforming crooked companies like this one.
There is a special place in hell for the employees of this company that perpetuate the fraud and participate in denying claims.
1 Updates & Rebuttals
Misty
Phoenix,Arizona,
U.S.A.
I am just saying....
#2UPDATE EX-employee responds
Mon, October 26, 2009
I used to work for Express Scripts many moons ago. They are not your insurance provider and they do not deny prescriptions on their own. Each insurance carrier provides them with a list of medications that will be covered. It's called a formulary and you can obtain a copy for yourself at no cost if you contact your insurance provider.
Express Scripts is a PHARMACY and then simply fills the orders. Blaming them is like me my car mechanic because gas prices have gone up. E