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PeaceWave

(2,595 posts)
Mon Sep 8, 2025, 02:34 PM Sep 2025

This message was self-deleted by its author

This message was self-deleted by its author (PeaceWave) on Thu Sep 11, 2025, 07:31 PM. When the original post in a discussion thread is self-deleted, the entire discussion thread is automatically locked so new replies cannot be posted.

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NickB79

(20,204 posts)
1. Does insurance still cover it if you lie?
Mon Sep 8, 2025, 02:40 PM
Sep 2025

What does the pharmacy relay to your insurer?

Response to NickB79 (Reply #1)

Ms. Toad

(38,051 posts)
5. I hate to tell you this,
Mon Sep 8, 2025, 03:57 PM
Sep 2025

But the medical systems are so integrated that it is relatively each for them to find out, and for you to be retroactively charged by insurance if they can't coverage.

I've had more than one instance of discovering transfer of information from pharmacy to pharmacy, pharmacy to medical office, and medical office to pharmacy.

Response to Ms. Toad (Reply #5)

Ms. Toad

(38,051 posts)
7. I agree there should be no restrictions.
Mon Sep 8, 2025, 04:29 PM
Sep 2025

I was just responding to your challenge to let them prove it, to make sure you, and anyone following your example, understand how easy it will be for them to prove it.

Response to Ms. Toad (Reply #7)

Ms. Toad

(38,051 posts)
9. Fantastic.
Mon Sep 8, 2025, 04:41 PM
Sep 2025

Unfortunately, the requirements for getting the vaccine are going to vary from state to state, until we evict Trump (or RFK Jr) from office.

Iris

(16,813 posts)
14. I don't think the question is the insurance companies not being allowed to cover the cost
Mon Sep 8, 2025, 10:00 PM
Sep 2025

As much as Not to if they are not compelled by the government.

I would guess most would want to cover it to avoid paying for costly illnesses

Ms. Toad

(38,051 posts)
15. You put too much faith in insurance companies to look beyond the immediate decision.
Mon Sep 8, 2025, 10:28 PM
Sep 2025

My insurance company denied a $500 (IIRC) treatment because although it was proven (and routinely approved) effective outpatient treatment for clot prevention post-surgery, it wasn't yet a standard outpatient outside of the surgical context. They ultimately relented, when my doctors pointed out that denying it meant a minimum of 2 weeks of hospitalization. But their initial response was to deny it. (Within a year or so, it was routinely approved for out-patient clot prevention - the ridiculous denial which I experienced was one of two medical conditions I've had which were featured as ridiculous on TV medical dramas.)

That's not the only personal example of penny-wise, pound-foolish behavior by insurance companies. Generally, unless it is an immediate cost (as mine was), they don't relent. In other words the long-term costly illnesses aren't necessarily going to fall on their pockets - the person they deny a vaccination to may be someone else's problem by the time they have a costly illness.

DET

(2,337 posts)
2. As Far As I'm Concerned
Mon Sep 8, 2025, 02:41 PM
Sep 2025

More power to you if you can tell a credible lie to get a vaccine that you should have routine access to anyway. This whole thing is ridiculous and infuriating.

Irish_Dem

(78,752 posts)
3. In fascist countries, citizens have to routinely lie to survive.
Mon Sep 8, 2025, 02:47 PM
Sep 2025

This is what we have become.

keep_left

(3,132 posts)
10. Just be glad you're not in Florida. A DUer reported...
Mon Sep 8, 2025, 05:20 PM
Sep 2025

...that thanks to the "leadership" in that state, you will need a written doctor's prescription to get a Covid vaccine.

mnhtnbb

(33,041 posts)
13. Here in NC, too.
Mon Sep 8, 2025, 08:26 PM
Sep 2025

Walgreens requires a prescription, even for over 65. I get mine tomorrow.
My 39 yo son talked his primary doc into writing a prescription for him today and got his vax after work today.

Hekate

(100,130 posts)
11. KnR
Mon Sep 8, 2025, 05:33 PM
Sep 2025

nilram

(3,444 posts)
12. You don't even have to tell them what particular condition.
Mon Sep 8, 2025, 07:54 PM
Sep 2025

At least, that's the way the rules used to read. My pharmacist said she wouldn't even put the condition in a person's records if they happened to disclose it.

I'll have to ask her how the rules are now, and if that piece of it has changed.

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