{"id":49467,"date":"2024-11-20T08:00:00","date_gmt":"2024-11-20T12:00:00","guid":{"rendered":"https:\/\/www.univistainsurance.com\/?p=49467"},"modified":"2024-11-19T15:10:28","modified_gmt":"2024-11-19T19:10:28","slug":"pharmacies-compatible-obamacare-insurance","status":"publish","type":"post","link":"https:\/\/www.univistainsurance.com\/blog\/pharmacies-compatible-obamacare-insurance\/","title":{"rendered":"Not Without My Preferred Pharmacy: Avoid Roberto\u2019s Bad Experience"},"content":{"rendered":"\n

Roberto is a healthy individual covered by an Obamacare health insurance plan. However, one Wednesday, he experienced severe chest and back pain that seemed like a heart attack. Along with intense pain, his blood pressure was dangerously high. A friend, who is a nurse, advised him to go to the hospital immediately: \u201cBetter head to the ER because, if it\u2019s a cardiovascular issue, you\u2019ll get the right care there.\u201d<\/p>\n\n\n\n

Roberto drove himself to the nearest hospital. There, he underwent various tests: bloodwork, blood pressure monitoring, and an electrocardiogram. The ER doctor determined it wasn\u2019t a cardiac issue and prescribed medication to relieve the acute pain: a muscle relaxant and a painkiller for the tightness in his back. \u201cTake them for five days,\u201d the doctor instructed.<\/p>\n\n\n\n

When asked which pharmacy he preferred to pick up his medications, Roberto replied, \u201cThere\u2019s a Walgreens near my house.\u201d The doctor searched by ZIP code and sent the prescription to that pharmacy.<\/p>\n\n\n\n

Roberto left the hospital around 3:00 p.m. and received a message from the pharmacy stating, \u201cYour medications are ready.\u201d He headed to Walgreens, but after waiting an hour in line, the pharmacist told him, \u201cSorry, we don\u2019t work with your insurance.\u201d Stunned and in pain, Roberto asked what he should do. The response was blunt: \u201cGo to CVS and ask them to call us to transfer the prescription. Next,\u201d they said, calling the next customer.<\/p>\n\n\n\n

Despite the pain, Roberto drove to the nearest CVS. After waiting 20 minutes, he convinced the pharmacist to call Walgreens to transfer the prescription. However, he received more bad news: \u201cThis won\u2019t be ready today; maybe tomorrow or the day after. Transfers take time.\u201d<\/p>\n\n\n\n

Desperate, Roberto explained that he urgently needed the medication. The pharmacist replied, \u201cSorry, the hospital made a mistake, and now it needs to be fixed. I\u2019ll call, but I can\u2019t guarantee it\u2019ll be ready today. If you\u2019re in a lot of pain, you can pay for the medication without using insurance. One costs $150, and the other $230.\u201d<\/p>\n\n\n\n

Roberto waited another hour and a half at CVS. Finally, the pharmacist informed him, \u201cThe other pharmacy hasn\u2019t called to authorize the transfer. They know you\u2019re here waiting.\u201d<\/p>\n\n\n\n

Frustrated, Roberto returned to Walgreens, where he found the staff chatting among themselves. After some insistence, they called CVS to authorize the transfer. The pharmacist defended himself, saying, \u201cThey didn\u2019t tell me it was urgent. Head back there; I\u2019ll call them.\u201d<\/p>\n\n\n\n

Roberto returned to CVS and, finally, around 7:30 p.m., was able to pick up his medications. He only had to pay $8.50 thanks to his insurance, but the exhausting process left a bitter taste and a valuable lesson.<\/p>\n\n\n\n

This bad experience could have been avoided if Roberto had previously verified which pharmacies work with his insurance. That\u2019s why it\u2019s crucial to confirm not only whether your primary care physician is included in the plan but also whether nearby pharmacies are compatible with your insurance.<\/p>\n\n\n\n

Overlooking this seemingly minor detail could expose you to the bureaucracy of transferring prescriptions between pharmacies, especially if you urgently need medication.<\/p>\n\n\n\n

The enrollment period for Obamacare 2025 is open until January 15. Contact 51³Ô¹ÏºÚÁÏÍø for more information or to enroll in a health plan.<\/p>\n","protected":false},"excerpt":{"rendered":"

Roberto is a healthy individual covered by an Obamacare health insurance plan. However, one Wednesday, he experienced severe chest and back pain that seemed like a heart attack. Along with intense pain, his blood pressure was dangerously high. A friend, who is a nurse, advised him to go to the hospital immediately: \u201cBetter head to […]<\/p>\n","protected":false},"author":8,"featured_media":49464,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[24],"tags":[1141,1143],"class_list":["post-49467","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-insurance","tag-compatible-pharmacies","tag-obamacare-insurance-2"],"acf":[],"yoast_head":"\nIs Your Pharmacy Compatible with Your Insurance? 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