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General Parenting
Help - getting Intuniv (brand) covered by insurance
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<blockquote data-quote="Frieda" data-source="post: 708366" data-attributes="member: 18242"><p>Our insurance would not cover the Kapvay (the other non-stimulant ADHD medication besides Intuniv) because they will only cover stimulants for ADHD. We ended up paying out of pocket for 6 month for Clonidine ER (the generic for Kapvay) and then repealing with the insurance company. We listed the stimulants he had tried and the negative results and the positive results we have seen on the non-stimulant. They agreed to cover it for a year and we have had to repeal every year. It's a PIA but worth it. </p><p>I have had some health problems of my own and I have had some success with repealing insurances refusal to cover medications before. I get that it is not always successful but it is always worth a try to fight it. I also had some outrageous clinic bills last year that the 'patient advocate' told me had been reviewed and would not be changed but they did get reduced after I filed a complained with the Better Business Bureau. I don't know if the BBB works for insurance complaints but the Office of Attorney General in your state might be another place to try.</p></blockquote><p></p>
[QUOTE="Frieda, post: 708366, member: 18242"] Our insurance would not cover the Kapvay (the other non-stimulant ADHD medication besides Intuniv) because they will only cover stimulants for ADHD. We ended up paying out of pocket for 6 month for Clonidine ER (the generic for Kapvay) and then repealing with the insurance company. We listed the stimulants he had tried and the negative results and the positive results we have seen on the non-stimulant. They agreed to cover it for a year and we have had to repeal every year. It's a PIA but worth it. I have had some health problems of my own and I have had some success with repealing insurances refusal to cover medications before. I get that it is not always successful but it is always worth a try to fight it. I also had some outrageous clinic bills last year that the 'patient advocate' told me had been reviewed and would not be changed but they did get reduced after I filed a complained with the Better Business Bureau. I don't know if the BBB works for insurance complaints but the Office of Attorney General in your state might be another place to try. [/QUOTE]
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Help - getting Intuniv (brand) covered by insurance
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