OPM: Humana , Inc. Aetna. Medco part d plans under medicare.
The law requires a coordination plan between FEHB and part D medicare. none exists. Insurance companies are selling policies and the beneficiary has no idea what the coverage would be. FEHB is primary for Linda's dependents due to her owcp status. Doyle has ended up paying more in premiums and has less coverage. Our daughter's bills are getting dumped onto medicaid when they should have $0 to cover except premiums. And Linda's bills are all covered under owcp, but ACS has disparately never set up her computer file and any attempt to make give info or make changes has ended up with more files missing. Herresuce inhaler, maxair has to go separately to mail order as the computers at Walmart are so messed up with the govt programs they can't process apart from part d. The formularies themselves discriminate against those with toxic/ respiratory injuries. Linda can't even get a prescribed nebulizer due to the 'death panel' obstruction of care. We are requesting all claims be referred to the proper primary payer for recovery on all of us and a letter of waiver of any overpayment liability due to against equity and good conscience be issued to each of us and our estates as we've tried for years to get compliance with the law. not one part D insurer's sales person has any idea what coverage they are selling. The Dept Appeals board decision of 9/29/2010 M09-1406 upheld his and is the only final one. Requests to OPM go unanswered by their contractor who seems content. Letter to John Berry never answered except for an ombudsman to e-mail me months ago , that: they are looking into it. ( for 6 years?) as FEHB recipients pay for something that doesn't exist. This is a gross violation of civil rights and should violated 50 state ins commissioners laws, too.
Showing posts with label OPM ccordination plan with part D. Show all posts
Showing posts with label OPM ccordination plan with part D. Show all posts
Wednesday, March 23, 2011
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