How would you explain to a patient that her insurance doesn't cover the prescription anymore?
1 - Apologize and tell the patient to refer this issue to her insurance provider. 2 - Explain that she can’t pay the full price today in cash then follow-up with her insurance for reimbursement. 3 - Ask the patient to call her doctor for another prescription her insurance will cover. 4 - Show understanding and reassure the patient that you will work with her to resolve the issue with her doctor and insurance.
4 and 1 but if that doesn't work then 3
#4 would be my answer.
I would apologize and explain understanding of this situation, but explain she can call her doctor and he can prescribe a medicine that is covered and that this happens mostly to new medicines.
1 and 3
4
I would do #4, work and reassure the patient. A lot of the times the doctor may have samples of the meds or another med that will work for the patient. There is always a solution to a problem. It's just finding the right one...
The right answer is number 4. I'm a tech.
I would answer 4 to see what can be resolved (in case the patient is not able to do number 3 herself).
I would also ask if there is a generic for the medication that insurance won't pay for. But al agree with what Kristi said.
Always apologize to the pt., , find out if the pharmacy carries a discount card on the price of Rx, or have the generic, some Rx may be not be able to be given as generic (normally pharmacist can call the dr's office, and let them tell to the dr the situation, and while they're may do these things, ask her to call her insurance carriers/or dr as well). As last resort, or when in doubt, go to your state representative, see if they can assist you with the situation, they may be able to provide you with some information.