Dare I say something nice about my medical insurance company?

[RussBLib]

5. What about Part D?

My wife and I also have UHC for our Part C, but drugs usually come via Part D. She has been on Repatha for 2 years to lower cholesterol, and she made the mistake of going with Humana for Part D this year.

When she signed up via Open Enrollment this past fall, Repatha was on the Humana formulary. As soon as the new year rolls around, we are told by Humana that she no longer qualified for Repatha, since the FDA made some kind of change for the drug. Now her cholesterol is too low to qualify.

Appeal. Denied. 2nd appeal via the doc, denied. 3rd appeal, denied. UHC has had nothing to do with this issue. So I don’t understand why UHC, as your Part C provider, got involved in a drug issue.

https://russblib.blogspot.com/?m=1