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Express Scripts: Pay Backdated Reimbursement For Prescription Drug Claim

This petition made change with 42 supporters!


I was paying $400/$475 a month for private medical insurance that had prescription coverage in 2013. Yes policy cost increased in July 2013. My policy coverage included medications paid for at the generic cost, for the brand medication. I had Anthem and Express Scripts for medical and drug coverage. was on a medication that only had the brand, there was no generic for this medication, so I did not know I could try to use my insurance when I paid for this medication at the pharmacy. Lo Estrin FE 24. My pharmacist told me to file these for reimbursement with my insurance company and so I did. I have been trying to resolve this reimbursement since November 2013. As of Aug 2013, Lo Estrin FE 24 stopped being offered. There is a different drug and name now. I paid Jan-Aug 2013 out of pocket, totaling $464. I should be paid a portion of this back, once Express Scripts completes the backdated claim and approves it! I have been going round and round and round with supervisors and my claim keeps getting denied. This has been ongoing since November 2013. I don't know what else to do to get through to them...Express Scripts needs to do the right thing here and reimburse me for the back dates of Jan 2013-Aug 2013. It is a lot of money for me as I am a single person. I appreciate your support and I hope in the future they change this policy, It is not benefiting your customers, the consumer/patient. Please think about this when establishing your policy guidelines in the future. I appreciate all that the supervisors have done for me, but this needs to go past the supervisor chain of command at Express Scripts. This should he an easy fix, but it has been an ongoing back and forth process with both Anthem and Express Scripts for months now, Started back in November 2013. Do the right thing here, Express Scripts. Reimburse me for this backdated out of pocket drug claim. Thanks, Kristie Gibbons 404-323-0156

Did I mention I have a family full of great lawyers???



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