About 3 months ago I went to get my birth control refill at my usual pharmacy and they told me it wasn’t covered. After a ton of back and forth (hours on the phone) I found out my prescription insurance, Pro Act, now requires all maintenance medication to be mail ordered in 3 month supplies. I confirmed that they never sent any notices of this new requirement so you just find out when you go to pick up your meds that they aren’t covered anymore— great system. Since then my family of 5 has called no less than 15 times over the past 3 months to work out all the kinks in this service across all our medications. I’m also on heart medication and my doctor keeps sending the renewal to my usual pharmacy not the mail order address. This has been a nightmare and they sent medications late and have messed up in other areas. Is there any way to get around this? This is taking over our lives to have to call insurance every week to deal with a new mistake.
Pro Act— any way around required mail order for maintenance medication
byu/angelica933 inInsurance
Posted by angelica933
2 Comments
You need to sign up for online account access and manage things through there. No one can help it if your doctor sends stuff to the wrong pharmacy. That’s your doctor’s issue, not insurance.
This sounds like a doctor issue. You need to have them update your pharmacy request. Making a mistake once during the changeover is not unexpected but anything after that is strictly the doctor’s issue and you should put the pressure on them.