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View Diary: Managed Care Denies Coverage for Generic Albuterol, Will Only Cover----Name Brand Albuterol (20 comments)

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  •  ProAir is garbage (18+ / 0-)

    As an asthmatic (due to allergies), the frequently clogged inhaler was useless no matter how clean I kept it.

    I pay virtually full price for Ventolin (also Albuterol) that never clogs and is always available when I need it.  I don't need it often, but when I need it, it must be usable.  I find it necessary to use it with a spacer because the spray is pretty forceful (as opposed to the weak spray of even a "working" ProAir).

    Another thing for your patients to watch for is a frequent problem I ran into:  insurance company refusing to pay for an "in office" Albuterol nebulizer treatment.  They pay for them in the ER, but not in an office or clinic.  I always called and went into the clinic rather than an ER because it's ultimately cheaper.   I should just go to the ER and stick the insurance company with a big bill, but I know that thinking causes higher rates for everyone.

    Basically, the insurance companies are always, ALWAYS going to find a way to avoid payments for anything.  They give us promises, rules and regulations, policy fine print, endless waiting on the phones, arguments, stonewalling, and any other tactic they can employ.  They'll always win because they're ready, willing, and able to stonewall us for the next 3 eternities.  And we'll give up after 100 unproductive calls, too.

    It's just a stinking racket.

    There already is class warfare in America. Unfortunately, the rich are winning.

    by Puddytat on Sat Mar 08, 2014 at 03:53:32 PM PST

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