.... this man
or one of his fawning minions decides once again not to pay for Eliza's formula. Who is this concerned looked gentleman? Why none other than Stephen Hemsley, CEO of UnitedHealth Group, parent to UnitedHealth Care and Oxford.
Really I thought I would make it at least through the first quarter of 2010 without having to rant and rave about the deplorable state of health insurance in America. Since there are TWO refills left on Eliza's formula prescription (which would cover another 2 months) I really figured that this would be a dead topic till well past Easter. But no. I tried to refill Eliza's formula with the truly lovely people at www.cvs.com and they tell me the claim was rejected because: "UnitedHealth Care Oxford won't pay for anymore formula." Even the pharmacist at CVS thought this was a pretty suspect reason, especially since UnitedHealth Care Oxford had already precertified two more months of formula.
Of course by the time I hear all this the customer service people had long gone home, so the battle will begin anew tomorrow.
In case anyone is wondering, Mr. Hemsley (a Fordham University alum, class of '74) could probably pay for his own kid's medically necessary formula since his 2009 compensation was about $3.2 million with a 401(k) Plan of about $10.7 million. Probably wouldn't notice a few thousand missing shekels.