1/ @CVSHealth , CVS Caremark recently denied coverage for my son's medication, which he has received for 2 + years. We arrived at this medication after two previous meds were ineffective & included serious side effects. #healthcare #healthinsurance #CVS
2/ For context, I have expertise in measuring patient outcomes & worked with pediatrician to evaluate meds for effectiveness & side effects. Your decision to not cover meds indicates we must try 2 covered meds prior to you considering covering med he has received for 2 + yrs.
3/ Previous meds we've tried caused significant side effects. My son suffered. We're happy with current med. You also indicated if we want to continue current med we could pay out of pocket, which would be $450 ish per month. @KarenSLynch , you can afford that cost, but I can't.
4/ So, I have some questions and comments for you. 1. Why are non-physicians making health care choices for my child? 2. Why are we required to try two meds in order to get coverage for previously covered med even though we've done this before?
5/ Why did no one sign letter sent to me denying coverage? I sign treatment reports & include my license number? I am liable for treatment decisions. @KarenSLynch , I expect you & others at @CVSHealth to take responsibility for harming children. Sign your name. Be responsible.
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