scrip for supplies?

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Eva Lou
Veteran Member


Date Joined Sep 2006
Total Posts : 3437
   Posted 3/15/2008 3:27 AM (GMT -7)   
The questions continue! So I was talking to my insurance company the other day to get a handle on how to order supplies- I have Harvard Pilgrim HMO, they cover durable med. equipment in full, with a max of $2500/per calendar year. You have to order thru an approved vendor- they are sending me a list. But- the rep. told me you need a script from your doctor???? What?!?!? Has anyone else had to do this? I can't imagine what type of scrip the doc would write, as there are so many different types of supplies, & it's a lifetime necessity. I'm sure it's some weird technicality, but... just another hassle. I have to go to my primary care doctor soon for a check-up & I plan to ask him about it. Any of you had to do this?
diagnosed with UC '02
meds-
Asacol- 8 tabs/day
Remicade infusions
Imuran- 100mgs/day
Culturelle
 
 
 


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 3/15/2008 3:34 AM (GMT -7)   
YEP, I sure have. BUT, I have added and changed a few things since that original script a few years ago, and Anthem has covered them. So, I don't know if my supplier has been in contact with my GI (I doubt it!) or if the original RX is enough to show "necessity". Know what I mean? I am sure your doctor's office has had to do this for others. If your provider covers DME at 100%, I'd jump thru hoops for that!


Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


Eva Lou
Veteran Member


Date Joined Sep 2006
Total Posts : 3437
   Posted 3/15/2008 7:46 AM (GMT -7)   
That's what I'm thinking, it's got to be a one-shot deal. I actually saw on the Edgepark website that they contact your doctor as well as your insurance comapny, so maybe most of the suppliers do that. Just one more thing to think about! My PCP is not very knowledgeable about ostomies, I don't believe- he is the one doctor who advised me not to get surgery! My GI, all the specialists, & the surgeon tell me it's got to be done. I like him a lot, my PCP, so this will have to be a learning experience for him too.

diagnosed with UC '02
meds-
Asacol- 8 tabs/day
Remicade infusions
Imuran- 100mgs/day
Culturelle
 
 
 


praying4healing
Veteran Member


Date Joined Dec 2007
Total Posts : 739
   Posted 3/15/2008 11:56 AM (GMT -7)   
Well I ordered thru edgepark vending, and I just told them what I wanted and they contacted the docs office for the right scripts. Some vendors do it that way
25 y/o female- crohns disease since 14
Ileostomy pending-very worried
Tried asacol,pentasa,prednisone,remicade,6mp,azasan, no avail
Seatons placed
Worst year ever!

"For God has not given us the spirit of fear....."
Where does mine come from?!
 Temp Ileostomy performed 1/29/08
Still Adusting
 Healingwell.com has been my Godsend...Thank you


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 3/15/2008 8:23 PM (GMT -7)   
all my script said was "ostomy supplies"
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