17 December 2013

“You may need to talk with your doctor about your prescriptions.”


I recently received a letter from my prescription drug insurance administrator with that sentence in bold above the body. The letter explains that as of 01/01/2014, the plan’s coverage of this particular (name-brand) medication will change. The administrator and doctor together must review the prescription to ensure it falls within the plan’s rules.

There is nothing in the letter specifically mentioning the Patient Protection and Affordable Care Act (PPACA), although one sentence does mention information that is “FDA-approved”. The FDA is, according to Wikipedia, part of Secretary Sebelius’s DHHS. Nevertheless, the effective date of the new policy is, I am certain, no coincidence.

Fortunately for me–and I am a fortunate person–this medication was for a specific short-term purpose, and I am no longer using it. I empathize with those who may not be so lucky.