Re: Managed Care Program - Abilfy

[Guest guest]

Oh , I'll sign it in a second! Next week will be our first med

refill....I'll now expect problems and may start a few days earlier than usual

(usual is one or 2 days-worth of meds left).

In a message dated 8/17/2011 4:19:21 P.M. Central Daylight Time,

cmfinato@... writes:

Well I have more aggravation with this stupid Managed Care Program that

was started by our even stupider governor, Pat Quinn.

Trying to refill my daughter's prescription for Abilfy. Even though our

Medicaid card does say until the end of August, Medicaid is rejecting it. I

gave the pharmacy the info for RX Script, which the pharmacist said is

notorious for not covering a lot of drugs, and it's not covered. So now she

had to FAX a form over to the doctor and by the time this mess is settled

(if it is settled), Angel won't have any more meds left.

Does anyone know if a class action lawsuit has been filed against idiot

Quinn for this nightmare? I'm ready to join it.

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[Guest guest]

I understand your agravation. I went through this with Lexapro for my daughter.

I was able to get it in generic from www.canadageneric.com. I still had to

pay for it, but it was a lot cheaper than the name brand here, and it is not

available in generic here yet.

From: cmfinato <cmfinato@...>

Subject: Managed Care Program - Abilfy

IPADDUnite

Date: Wednesday, August 17, 2011, 4:19 PM

 

Well I have more aggravation with this stupid Managed Care Program that

was started by our even stupider governor, Pat Quinn.

Trying to refill my daughter's prescription for Abilfy. Even though our

Medicaid card does say until the end of August, Medicaid is rejecting it. I

gave the pharmacy the info for RX Script, which the pharmacist said is notorious

for not covering a lot of drugs, and it's not covered. So now she had to FAX a

form over to the doctor and by the time this mess is settled (if it is settled),

Angel won't have any more meds left.

Does anyone know if a class action lawsuit has been filed against idiot Quinn

for this nightmare? I'm ready to join it.

[Guest guest]

Another problem is that Medicaid has one list of drugs covered, and each of the

Managed Care companies have their list. So with 3 different lists –(which I

checked all) there is NO list that has ALL of my daughters meds on it. I have

been working on prior approval for all her meds, and hope someone will fill them

until it gets settled. Have you noticed on your August Medicaid card – it has

the name of either Illini Care or Aetna Better Health on it?

[Guest guest]

I will check the Medicaid card. I didn't check it when I got it.

Thanks

>

> Another problem is that Medicaid has one list of drugs covered, and each of

the Managed Care companies have their list. So with 3 different lists †" (which

I checked all) there is NO list that has ALL of my daughters meds on it. I have

been working on prior approval for all her meds, and hope someone will fill them

until it gets settled. Have you noticed on your August Medicaid card †" it has

the name of either Illini Care or Aetna Better Health on it?

>

>

>

[Guest guest]

The Federal Government has mandated that a certain percentage of Medicaid

clients need to be converted to INTEGRATED CARE.

 

If you have Medicare or if you have other comprehensive commercial insurance,

you will remain on " regular " Medicaid. If you are getting mail that says you

need to sign up for integrated care, you need to be sure that Medicaid has the

front & back of your other health insurance card. If this coverage is not on

your Medicaid case, they think you do not have other coverage - and need to sign

up for Integrated Care -> Aetna Better Health  or  IlliniCare.  " Regular "

Medicaid will work the same as always. They have changed their formulary

medications on July 1, 2011. Many drugs that were covered in the past, now

require prior authorization.

 

If you do not have Medicare or other comprehensive commercial health insurance,

AND you are 65 years old or older, or are blind or have a disability, you will

no longer have " regular " Medicaid. You will have to choose either: Aetna Better

Health or Illinicare. If you do not choose, you will be assigned one of these

companies. Each company has it's own rules: drugs they cover, hospitals you can

go to, doctors you can go to.....etc.....

 

Unfortunately, this is not a choice we have.

From: <ginar_30@...>

IPADDUnite

Sent: Thursday, August 18, 2011 9:20 AM

Subject: Re: Managed Care Program - Abilfy

 

Another problem is that Medicaid has one list of drugs covered, and each of the

Managed Care companies have their list. So with 3 different lists –(which I

checked all) there is NO list that has ALL of my daughters meds on it. I have

been working on prior approval for all her meds, and hope someone will fill them

until it gets settled. Have you noticed on your August Medicaid card – it has

the name of either Illini Care or Aetna Better Health on it?