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Secondary Insurance and Medicare Part D Prescription Billing?

We have fepblue BCBS and Medicare part D for my wife. BCBS denied her special medication, and then authorized it for 3 months. She believed BCBS would soon deny the medicine so she signed up for Medicare part D as backup insurance. She called Caremark (CVS) on February 2014 to refill two prescriptions. Surprisingly, only (1) medicine arrived from Aetna home delivery with bill for $41.07 co-payment.

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Unbeknownst to her, Caremark switched her prescriptions to Aetna home delivery. The local CVS filled the other prescription for $.49. Did CVS violate Medicare rules switching my wife's prescription, and should the secondary insurer BCBS pay $41.07? Thanks for any assistance.

By Albert

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Gold Feedback Medal for All Time! 949 Feedbacks
April 8, 20140 found this helpful

It would be a miracle if someone on this site could answer your questions as this is dealing with at least 3 different companies.

If you have a senior care center in your city you should try there first as they might be able to help or guide you to someone who can.

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Some people try AARP with questions like this, but I have never used their services.

You could try yourself but I doubt you would get very far and spend hours on the telephone.

You really need answers as I am sure this will happen again in the future.

 

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