I am going through the denial process right now! My doctor prescribed Forteo for severe osteoporosis because the degrading of my spine and right hip bone was too severe for the usual osteoporosis drugs.
I have twice been denied. My husband and I are both retired and I am not medicare eligible so we must pay out of pocket for the 2 year daily injections that will REBUILD my bones to a normal state. The other drugs (Actonel and fosomax) only slow the progression of bone deterioration. The cost for this drug is $2000.00/ month for 2 years.
My premiums a month are $1250.00 to cover catastrophic illness.
BCBS would rather bankrupt a subscriber rather than aid in their health needs. As soon as I can, BCBS will be dropped like a bad habit.
Reason of review: Poor customer service.