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Medical Forum / General / Pharmacy / October 2003

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[Fwd: Investigative Report]

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el gran cantinflas - 18 Oct 2003 03:43 GMT
-------- Original Message --------
Subject: Investigative Report
Date: 17 Oct 2003 13:45:01 GMT
From: sitkacharley@aol.com (Sitka Charley)
Organization: AOL http://www.aol.com
Newsgroups: alt.pharm.indust

     Hello. I write for an online college publication,
http://theword.hunter.cuny.edu, and am investigating a prescription-drug
policy
for NYC students that provides an annual maximum of  $500 in drug value but
costs more than $500 in premiums.
     In order to complete my report, I need to meet with a pharmacist
in the
NYC five-borough area who works behind the counter, knows what medicine
costs
for customers with coverage and for those without it, and is willing to be
interviewed for ten to fifteen minutes. You see, I have met with the
insurance
company's executives to demand an explanation for the drug coverage versus
premium, and one of them told me that their customers' policy covers each
refill based on a wholesale price, so the "$500 coverage" is worth more than
five hundred dollars paid out of one's pocket.
     This is the executives' explanation, but I don't want to simply
take their
word for it--they may be telling me what they want me to hear.
     If you are a pharmacist willing to give your input for my report,
or know
a pharmacist who you think would, please call or email me. I regularly
check my
answering machine and email, and I reply to a message almost as soon as
it is
left or sent. If you wish to inquire about my character or integrity as a
reporter, you may contact Professor Gregg Morris: gmorris@hunter.cuny.edu

Sincerely,
Ari Bornstein
*82-718-438-0118
sitkacharley@aol.com
Nigel - 18 Oct 2003 14:04 GMT
> -------- Original Message --------
> Subject: Investigative Report
[quoted text clipped - 22 lines]
> take their
> word for it--they may be telling me what they want me to hear.

Insurance policies are very detailed contracts.  The executive's
explanation can be demonstrated to be true or false simply by reading the
policy.
ARIEH GAIDEMAK - 18 Oct 2003 14:47 GMT
The insurance company (unnamed by you) is a thief.
1. What group is the coverage for?
Students are the lowest consumers of prescription drugs limited to an
occasional antibiotic or oral contraceptive pills if covered.
2.Who needs a policy that pays a maximum equal the individual premium?Even
with discounts it sounds absurd.
3.How big a group of Insurees are involved? Worthwhile requesting proposals
from normal companies?
--
from Alan Leon Gaidemak, M.B.A.,R.P.

> -------- Original Message --------
> Subject: Investigative Report
[quoted text clipped - 35 lines]
> *82-718-438-0118
> sitkacharley@aol.com
 
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