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Old 02-07-2012, 09:47 AM
AOII Angel AOII Angel is offline
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Quote:
Originally Posted by PiKA2001 View Post
That "fact" was debunked back in '08 after it was brought up during the election season. IIRC the major insurance companies (BCBS, Aetna) have never covered Viagra or ED medications and the ones that did cover it when it was originally introduced ended up dropping it because it ended up being too expensive*. That being said, it's my understanding that birth control is pretty much covered by all insurance companies these days.
http://www.huffingtonpost.com/mobile..._n_914818.html


*Side note- I'm sure there are some fat cats who had their Viagara covered by their awesome insurance but generally speaking the 99 percenters insurance never covered it.
"Coverage" for birth control varies considerably depending on the type of pill you are on. One insurance company I had in recent years paid $3 toward my $50 pill pack. That's not coverage. Anyway, for most programs all drugs are on a schedule so you get a variable co-pay depending on the expense of a drug (which usually depends on whether or not it is generic.)

Quote:
Originally Posted by AGDee View Post
Whether birth control is included depends on the rider your employer purchases. Ditto for Viagra and every other drug. The insurance companies have different formularies that your employer can choose from (along with different co-pay levels). All part of my beef at being at the mercy of your employer when it comes to your benefits. If employers gave us vouchers and we could shop for our own insurance, we could tailor our riders to meet our needs and select the plan that balances our needs with our budget. We could also choose to purchase it from a different company.

As for EOBs.. Vandal Squirrel, BCBS of Michigan still does them by mail. This varies greatly by plan and having electronic EOBs is not a requirement by the BCBS Association. I would imagine that the elderly, who are not comfortable with electronic methods, would not be happy with electronic EOBs.
Trust me. You do NOT want a voucher system. As much as you think it would be better not to have to be at the mercy of your employer, in our system, the only thing that protects you from being dropped from your policy when you have a claim is the fact that you are in a group policy through your employer. That's why the voucher system for Medicare is dumb (as well as for the fact that insurance companies won't take high risk individuals with multiple medical problems. What do you think you'll get with the elderly population?)
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