qss79's story

qss79

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JayMan said:
bro that is probably insurance fraud. if your insurance would not pay for propecia then there's a 99% chance that they do not cover proscar for hair loss either. your doctor could lose his medical license and you could lose your health insurance and be sued by your insurance company.

just because they covered it does not mean its legal. if your ins will not cover propecia since it's only prescribed for cosmetic purposes, then they probably thought that your doctor wrote you a proscar prescription because you have benign prostatic hyperplasia.

i am really surprised that your doctor agreed to this.

if he did not write "for hair loss" on the prescription then he is complicit.

damn!...r u serious...i dont wanna be getting into any insurnace fraud related stuff...i m gonna call my insurnace comapny first thing tomorrow morning and sort this out!...sh*t!
 
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qss79 said:
JayMan said:
bro that is probably insurance fraud. if your insurance would not pay for propecia then there's a 99% chance that they do not cover proscar for hair loss either. your doctor could lose his medical license and you could lose your health insurance and be sued by your insurance company.

just because they covered it does not mean its legal. if your ins will not cover propecia since it's only prescribed for cosmetic purposes, then they probably thought that your doctor wrote you a proscar prescription because you have benign prostatic hyperplasia.

i am really surprised that your doctor agreed to this.

if he did not write "for hair loss" on the prescription then he is complicit.

damn!...r u serious...i dont wanna be getting into any insurnace fraud related stuff...i m gonna call my insurnace comapny first thing tomorrow morning and sort this out!...$#iT!

yes, you could go to jail. i'd call them and tell them you're on proscar for hair loss. if they say it's covered for that then i was wrong, but i doubt that they would cover proscar for hair loss and not propecia(which is only prescribed for hair loss). i've never heard of any company doing that. if you just tell them on the phone then they'll simply stop covering it and you can pay the difference between the copay and retail amount on your first set of pills that you just bought. it's not that big of a price difference on proscar anyway. generic proscar is out in us pharmacies and can be had for $230-240 a year. not worth getting in financial/legal trouble over.,

let us know what they say.
 

qss79

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it doesnt make sense...

i told my insurance company the whole story...they said if I was not elgible for a particualr prescription, the pharmacy wud have refused it after putting in my card details in thier system...but since they did not refuse implies proscar was covered by the insurance...

i mentioned to them again, that i m taking PROSCAR for HAIR LOSS, so they say..."we dont cover hair loss prescriptions...so from next time just pay the whole amount without presenting ur insurance card- and did not mention anything abt the present prescription tht i took on a copay...

i m confused...
 
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qss79 said:
it doesnt make sense...

i told my insurance company the whole story...they said if I was not elgible for a particualr prescription, the pharmacy wud have refused it after putting in my card details in thier system...but since they did not refuse implies proscar was covered by the insurance...

i mentioned to them again, that i m taking PROSCAR for HAIR LOSS, so they say..."we dont cover hair loss prescriptions...so from next time just pay the whole amount without presenting ur insurance card- and did not mention anything abt the present prescription tht i took on a copay...

i m confused...

i dont see the confusion. Did the prescription say for hair loss on it? if not, then the insurance company is not going to deny it if it says "take as directed" most likely. they think it is for prostate. now you know that you have to pay the whole amount next time and don't present your insurance card. don't worry about it this time i guess but if you do it again next time then it is absolutely insurance fraud.

it is n ot worth losing your insurance when they check up on it and make you pay the money back as well.
 
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