Rx Restrictions

It has become increasingly difficult for healthcare providers to prescribe the medications they choose for patients without insurance company interference. This is true whether you have employer, retiree, marketplace, or Medicare Part D health insurance for prescriptions.

 

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Rx RESTRICTIONS

HOW AN INSURANCE CONSULTANT CAN HELP YOU DURING OPEN ENROLLMENT

 

 

 

 

Terry Bay, Founder and President of SENIORx Patient Advocates, Patient Advocate Healthcare Advisor and Licensed Insurance Consultant

 

Specialties: Health and Disability, Insurance Consulting, New to Medicare, Patient Advocacy, Prescription Drug Coverage, Denied Claim Appeals

Terry Bay founded SENIORx Patient Advocates in July 2006 after she experienced frustration navigating the healthcare system while taking care of her ill and aging parents. Combining her passion for business—she has an MBA in International Business from the University of Wyoming—and knowledge of healthcare acquired through many years working in the global pharmaceutical industry—Bay launched the company with a mission to serve seniors, the disabled, and those trying to help them—access, understand and navigate Medicare and the healthcare system. (more…)

Call now to Schedule a Review for your Prescription Drug coverage for 2018!

Open Enrollment is from October 15th – December 7th. On average, our clients save $1,200-$1,600 per year because they reviewed their Part D prescription plans with SENIORx Patient Advocates. Call 307.472.1770 now to schedule a review for your 2018 Part D prescription plan.

Please click the play button on the audio bar below to hear this information.

 

 

 

Other Relevant Posts:

http://www.seniorpatientadvocates.com/who-we-are/medicare-minute-blog/

http://www.seniorpatientadvocates.com/how-an-insurance-consultant-can-help-you-during-open-enrollment/

 

Rx RESTRICTIONS

 

Get Back Control of Your Medications

 

Why do I Need the Help of a Patient Advocate/Insurance Consultant to Help Me Get My Medications?

 

…because insurance companies can control costs by restricting your access to medications.

 

It has become increasingly difficult for healthcare providers to prescribe the medications they choose for patients without insurance company interference. This is true whether you have employer, retiree, marketplace, or Medicare Part D health insurance for prescriptions.

 

Insurance company restrictions include prior authorizations, quantity limits, and step-therapy which limit your access to specific medications at the lower co-pay price.  This means your provider must generally prove a medical need for a more expensive medication before your insurance authorizes your ability to fill the prescription.  You may be unable to get a critical medication OR be required to pay full price until insurance restrictions are addressed and overcome.

 

SENIORx Patient Advocates will work with your provider and pharmacy to help you access important medications your healthcare provider has prescribed for you and to overcome insurance company restrictions.

 

So what’s in it for you, the patient and your provider?

  • Patients receive medications they and their doctor agree are best – not those “prescribed” by an insurance company
  • Patients have help from a licensed insurance consultant to help maximize eligible insurance benefits and lower costs.
  • Patients (and providers) overcome confusion, complications, and restrictions related to their prescription insurance coverage
  • Patients spend more time with their healthcare provider to address medical questions and concerns (instead of fighting with insurance companies)

 

Have questions? Contact us and we’ll be happy to help. http://www.seniorpatientadvocates.com/contact/

Open Enrollment is almost here!

Open Enrollment is from October 15th – December 7th. On average, our clients save $1,200-$1,600 per year because they reviewed their Part D prescription plans with SENIORx Patient Advocates. Call 307.472.1770 now to schedule a review for your 2018 Part D prescription plan.

Please click the play button on the audio bar below to hear this information.

 

 

Other Relevant Posts:

 

http://www.seniorpatientadvocates.com/how-an-insurance-consultant-can-help-you-during-open-enrollment/

 

WHY IT’S CRITICAL TO UNDERSTAND MEDICARE’S HISTORY

When Medicare started in 1966, known today as the “original Medicare,” it only included providing health insurance to individuals over 65.  For almost 20 years prior, Presidents of the United States were calling on Congress and Americans to support subsidized healthcare for seniors. Since the inception of the system, the government has amended the program numerous times to be more encompassing, offer additional services, and better serve Americans. Just as history has proven, healthcare for our seniors will likely continue evolve over the years, and hopefully continue to improve. Our advice is to state up-to-date with information, utilize topic experts, and remain flexible. If you follow these guidelines, (more…)

We have Custom Training Programs for HR Departments and Employees!

Senior Patient Advocates has numerous training programs to help assist your HR department or employees during open enrollment. Our staff are licensed insurance consultants and we do NOT sell any insurance. Please click play on the audio bar below to hear this information.

 

 

Other Relevant Posts:

http://www.seniorpatientadvocates.com/who-we-are/news/

HOW AN INSURANCE CONSULTANT CAN HELP YOU DURING OPEN ENROLLMENT

Open Enrollment is the time of year you can review and change your Medicare Coverage. During this period, you can join a new Medicare Advantage Plan or a new stand-alone prescription drug plan. You may also be able to switch from a Medicare Advantage Plan to Original Medicare with or without a stand-alone Part D plan. There are dozens of plans with different benefits, downsides and terms. Even if you are satisfied with your existing plans, it’s worth a review to ensure you have the lowest cost, highest benefit suited to your needs. (more…)

We Moved!

We’re excited to announce that we have relocated our offices! Please find us at 2435 King Blvd near the Three Crowns Golf Course in the old Amoco Building now called the Wyoming Technology Business Center (WTBC).  Those who have been in Casper for some time may know this area as the old Amoco Refinery grounds. Please click the play button on the audio bar to hear this information.

 

 

Other Relevant Posts:

http://www.seniorpatientadvocates.com/seniorx-patient-advocates-a-few-friendly-reminders-weve-moved/#more-934