CVS: no longer will bill Workman’s Comp.. it takes them too long to get an approval or denial

Please help share since
cvs has been tagged in this. Let them know they can not silence all of us! My hat is off to Larry Powell who no matter what tells it like it is!!!

Nancy Overton Chance to CVS Pharmacy 1/25/18 9:49 pm

Today I received a call from the CVS Pharmacy on Elk Grove Florin that our family has been using since we moved to the area almost 20 years ago informing me that they no longer will take Richard’s Workers Compensation insurance, it takes them too long to get an approval or denial. They don’t care that they have received THOUSANDS AND THOUSANDS of dollars for the prescriptions from workers comp over the past 11 years. The assistant pharmacy manager explained that they have to be on hold for 1/2 an hour sometimes and then they get a denial and it is just a waste of their time. Waste of their time were her exact words. And people stand in line and get upset. I’m not sure why I had to stand in a long line all those times to pick up Richard’s medication since it was ready and no one had to be on hold getting approval for it,

Believe me, I know California’s Workers Comp system is horrendous but so is being treated so badly by a business after being a such a long time loyal customer. CVS Pharmacy

Kim Jemmings
You need to go to Bel Air at Elk Grove Florin and Calvine Pharmacy…they are awesome…very helpful…I have never had a problem and I have been going there for 15 years…

Nancy Overton Chance
Thank you Kim! I am so frustrated right now !!

Vance Lyons
yes, that Bel Air Is the best!.

Nicole Lowe
They have been problematic for awhile now, assholes. Be happy to be done with them and I would write a complaint letter of discrimination!

Nancy Overton Chance
Oh I am believe me!!

Nicole Lowe
I know you are!!
Manage
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Nicole Lowe
Nicole Lowe

Charles Black
Gotta vote with our dollars, Nancy. Economic boycotts rock!

Joe Boyd
Terrible but I can believe it. CVS is also going to start changing a lot of things. They have a huge monopoly on pharmaceuticals and they just purchased anthem insurance (or another company) they will start having medical offices at stores before long.

Louise Oxley
Absolutely ridiculous!

Donna Boyd
I would go to the top. That is full of it. Good luck !!!!

Nancy Overton Chance
Please share my post Donna Boyd I have tagged them in it now and I want people to know how CVS Pharmacy treats their long time customers.
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Donna Boyd
i did !!!!!

Nancy Overton Chance
Thank you !!

Karen Mosley
I know we are in a different type of area, but are there any smaller non corporate type of pharmacy’s? We are so lucky to have the TMWIHC clinic and pharmacy. They really care and bend over backwards to help. I agree with Donna Boyd, complain to the top. Good Luck!

Russ Whipple
We use Walgreens Nancy…great service!

Donna Boyd
They are, I used them for a while and we moved and all they had was CVS in our area.

Liz Padilla Lively
I understand your frustration, Nancy. My experience this week with Kaiser ER, left me disgusted and appalled. I’ve been with Kaiser since I was 18 years old, but they could care less. It’s disheartening when the medical field has absolutely NO compassion. (Not all in the medical field. It’s a systemic issue that is making good people lose compassion.)

Louise Oxley
Insurance company’s SUCKS!
ALWAYS HAVE AND ALWAYS WILL.
My sister worked for many, still does & makes a fortune selling policys

Kelly Rhodes
That’s not right. If all providers could refuse to service clients because their insurance takes too long to pay or deny then everyone would be screwed.

Kelly Rhodes
I’ve worked in health care and workers comp billing specifically and I know how much time goes into billing, collecting and appeals and it’s time consuming for the the doctors but that isn’t the patients fault.

Kandi Ramsey
Wow that’s ridiculous that they would talk to you like that. Sorry you guys have to go through so much

 

 

 

 

 

 

 

 

2 Responses

  1. Workmans comp doesn’t reimburse the pharmacy it’s costs for the medication not to mention time and other resources. T he PBMs running it are too big and until every pharmacy decides to stand up by denying to take workmans comp it won’t change.

    • It will never happen because back in the 80’s a small PBM up in New England area… was offered a really “low ball” reimbursement on filling Rxs with their “drug card” … the vast majority of pharmacy said – NO THANKS…and the DOJ stepped in a threatened all the pharmacies that refused to sign the contract that they were COLLUDING and that the DOJ would sue all of them for collusion – which is illegal… you see in the 40’s Congress passed the Mc Carren Ferguson Act which made all insurance companies exempt from Sherman Antitrust Act.. so they can collude and “fix prices” and it is totally legal for insurance companies to do and the DOJ will support them… I have read where pharmacies – mostly independents – report getting reimbursed by PBM abt 25% of their Rxs at less than the cost of the medication. I saw a screen shot of a recent example from a pharmacy where a SINGLE RX reimbursement was abt $250.00 less than the cost it cost the pharmacy to purchase it from the wholesaler

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