DISQUS

odd time signatures: Caremark Writes

  • Joy · 3 years ago
    I can not find the mailing address to file my second appeal asking for a medical review. My denial letter says that I should appeal to our company's benifits administrator, which I did. After 5 weeks she wrote back to say that I should appeal to Caremark. I have sent an e-mail asking that they send the address, but haven't gotten it yet. I tried to appeal by using the contact button on thier site, but when I pressed send it sent a message to say that it had taken me too long to get my message written and they had signed off. I lost the entire letter. I am in end stage lung disease, feeling lousy....I just feel like giving up. It is hard to get my thoughts together. I can't believe that I am having to beg for the coverage that we had for 7 years. Cellcept costs approx. $850 a month. No way that we can afford that!

    Aaaargh!
  • drumsnwhistles · 3 years ago
    Hi Joy,

    Here's their PR telephone number and address. It might be worth threatening a press/Internet campaign to see if you can get a result.

    Caremark Rx, Inc.
    Corporate Communications:
    Joan M. Gallagher, 615-743-6652
    or
    Investor Relations:
    Craig Hartman, 615-743-6653

    Here is the address and phone number for the Claims Appeals:

    Prescription Claim Appeals MC109
    Caremark
    P.O. Box 52084
    Phoenix, AZ 85072-2084

    FAX: 1-866-443-1172
    PHONE: 1-866-443-1183
  • Joy · 3 years ago
    Thanks for the address. I finally did get the same address from customer service. I wrote asking for an appeal with a physician reviewer (a physician in the specialty of autoimmune disease not gastrointerology...my bowel habits are fine!) That reviewer is to file a reccommendation with my doctors for alternative treatment. This puts them on the spot. My doc said that by law they are obligated to do that. In my case there is no other treatment that I tolerate. This has been plainly stated by myself and my reheumatologist in writing to them. Still we get the form letters says use alternative drugs. Aaaargh!

    Go to this link
    http://www.chicagotribune.com/business/chi-0605...
    I used this new ruling in my appeal and will use it when I seek legal help.

    Blessings to you all. May we prevail in this terrible battle that we are forced to fight.

    Joy
  • Stacey · 3 years ago
    Drumsnwhistles and Joy,

    I have never been so disappointed in a company before. I have never used Caremark in the past, always getting my meds filled at a local pharmacy, but with the rising costs of prescriptions meds I decided to give it a try. I have been waiting for my meds for 3 weeks. I have made four phone calls and I too tried to contact the company through their email address and the same thing happened to me. Yesterday and again today I was told that they have no explanation as to why my order has sat for so long and not been filled. Both times they also said that it would be sent out overnight. I have a hard time believing them anymore. I would never reccommend the company to anyone and would like to get word out to more people about this. Any ideas? I too have a child and a husband with adhd I hope this never happens to us.
  • drumsnwhistles · 3 years ago
    Hi Stacey,

    I replied to you in the post linked just below your comment. Thanks so much for coming by and sharing your story!

    DnW