this post was submitted on 31 Aug 2025
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I pay $15k a year health insurance for my family, it only kicks in after I spend $5k, and a doctor can say I require one thing and the insurance can reject it (discuss.online)
submitted 6 days ago by bytesonbike@discuss.online to c/microblogmemes@lemmy.world
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[–] michaelmrose@lemmy.world 22 points 6 days ago (1 children)

Your pharmacy lied. There is no legal requirement to try to bill insurance first they presumably stand in many cases to bill them more especially if you cash paid only after coupons or patient assistance programs which are essentially coupons.

Thus they choose to follow this process and lie to you.

[–] Monument@lemmy.sdf.org 9 points 6 days ago

Oh, yeah. They didn’t even give me an option. Not even really a matter of them saying it was legal or anything. It was a quick awkward convo in which they were too rushed to really listen and I was too flustered to really make them.

I’m not all that annoyed at the pharmacy. They are trying to save me money. My comment is really more about how the insurer adds confusion and delays, because of their second guesses, insisting on verifications, etc.