Doctor and insurance diabetes medication issues

[Anonymous]

Switch doctors. This is unacceptable behavior.

[Anonymous]

Anonymous wrote:Look up LADA. You may be Type 1

THIS.

Please find a good endocrinologist that has experience with LADA. Metformin is generally very effective against Type II diabetes. The fact that it's not working for you should be a red flag to your doctor.

[Anonymous]

Anonymous wrote:Here’s what my doctor emailed me yesterday when I asked him to send the note and lab work to the new insurance company:

“As always mentioning before, this is extremely frustrating for patients (and we physicians) alike. Insurance companies repeatedly are telling patients that all we simply need to do is fill out paperwork, send them lab results, chart notes, etc. and these medications will be covered benefits. Repeatedly they have been denied for reasons we do not know

As I mentioned to you before, please bring this up with your insurance company and asked them "what criteria you need to meet for these to be approved". It does appear that these are approved benefits though if insurance continues to deny these despite efforts that they wish us to do, we simply have no control

Finally, you may wish to check and see if there are other GLP 1 weekly injection medications that are covered benefits. The 3 products on the prescription market would include Ozempic, Trulicity and Mounjaro

Good luck with your efforts here”

It appears that your doctor misunderstood your request. If you have confirmed with your insurance company that you are eligible for the medicine, then tell your doctor that you have confirmed this and here are the criteria. He will send the notes.

Don't waste his time without doing the homework.

[Anonymous]

Is this your PCP or an endocrinologist? You need to see an endocrinologist. Ask your doctor for a referral to a specialist immediately.