Filled a prescription after insurance expired
Hi all any advice will be greatly appreciated-
I used Care First insurance until Dec 31 2022 and my employer changed provider effective Jan 1st, 2023
I mistakenly had a prescription filled on Jan 4th 2023 from my old pharmacy and got the medication using my old insurance. They never flagged it then.
The old pharmacy and the doctor who initially prescribed it are not in network with my new insurance provider. I changed my doctor and pharmacy. The medication needs pre-authorization so I had to apply for it with my new insurance and it got approved only in Feb 2023
So, my old insurance provider won’t take care of it cuz it was post plan expiration. And my new insurance can’t take care of it because wasn’t pre approved and the pharmacy is out of network too
Is there any possible way around this? It is a very expensive specialty medication and will cost me one month’s paycheck to pay from my pocket 🙁 Will an appeal work? What are my options? I want to atleast bring down the costs.
Please help! TIA
submitted by /u/bobcat394
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