Playing the Insurance Coverage Game

A patient called today – her Nuvaring fell out sometime yesterday (she’s not sure where) and she is only two weeks into her cycle. She went to the pharmacy to get a new ring, but her insurer denied the refill because it is too soon.

Now, I could spend the next half hour on hold with her insurer to get the Ring refill approved, and they may not approve it anyway.

So here’s what I did – I prescribed her a pack of birth control pills to take, starting today. She will finish that pack but refill her ring in two weeks, and now she will be two weeks ahead on her ring refills.

I hate the game, but I’m good at it….

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