Psycho-Babble Medication Thread 46128

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HELP! CA Insurance plans driving me crazy

Posted by Abby on October 11, 2000, at 13:59:18

I looked into this again, and the Kaiser stuff seems like a real problem. What clinched it was a plea on Mary Shomon's thyroid board for a Kaiser doctor in my area who would take endocrine symptoms seriously in the absence of clear cut lab results.

So, I found a program which looked very good-- $10 copay for mental health reasonable prescription benefit. Good access to specialists.
It was Blue Shield HMO +Access. They seem to cover all kinds of psychotropic medications except for Zoloft, which I'm on. It's all very strange. Some plans cover Celexa, and others don't. I also saw that Kaiser actively discourages its physicians from prescribing zoloft by suggesting an alternative SSRI, but I'm already on Zoloft, and I think that switching could be destabilizing.

Does anyone have any suggestions as to what I can do? Aetna and United don't seem to offer individual policies.

Thanks,
Abby

 

Re: HELP! CA Insurance plans driving me crazy

Posted by stjames on October 11, 2000, at 15:04:17

In reply to HELP! CA Insurance plans driving me crazy, posted by Abby on October 11, 2000, at 13:59:18

> It was Blue Shield HMO +Access. They seem to cover all kinds of psychotropic medications except for Zoloft, which I'm on. >
> Does anyone have any suggestions as to what I can do? Aetna and United don't seem to offer individual policies.
>
> Thanks,
> Abby

James here....

Ask if there is a procedure to allow you to take meds that are not covered, based on need. I do this with my HMO, as they don't cover Effexor and Remeron, but will if my doc asks.

james


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