Anthem Health Insurance

Anthem Health Insurance


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Anthem health insurance

 Anthem health insurance

  • I need help finding extremely inexpensive health insurance!?   I'm going down to Orlando, Florida for 8 months next year. While I'm down there my current health insurance, BCMH, won't be able to cover me for anything because they're an Ohio resident program. I'll still be a resident of Ohio, but I'll be living in Florida for the whole time, so from what I've been told Medicare won't cover me since I'm not a Fl. resident, and Ohio medicare won't approve me. I'll be working full time, atleast 40 hours per week, with a pay rate of .17/hr, I'll be paying a rent of at most a week, and I'll still have to feed myself and gas up my car. I HAVE to get some kind of health insurance to pay for my medications and any emergency health care I might need, I have a back problem, and diabetes so the likelihood of needing medical care is high considering how long I'll be there. I've already looked at Anthem and I can't afford them - not to mention I've had trouble understand their terms. Can anyone suggest a company or program I'd be eligible for? BCMH is indeed a coverage for children with medical handicaps, however they do extend coverage up to the age of 21. Thanks for the information, guys, hopefully I'll be able to find something.
    • Look into (Medicare) Capital Health Plan in FL. (capitalhealth.com) for the best coverage in FL. Also look into commercial plans...Harvard Pilgrim Health Care, (harvardpilgrim.org) based in MA. They provide good HMO/POS healthcare. Consider mail order pharmacy with these or any other plan(s) that you might get for good Rx co-pays.
    • gosh, I sure wish you luck. I've actually never heard of Medicare refusing to cover somebody who is on Medicare, just because they are going somewhere else in the country to live, either temporary or permanently. I was also under the impression that the BCMH was a Children with Medical Handicaps program. If that is correct, I'm taking it that you are under 18 to be still designated a "child", in which case wouldn't you be able to.... and in fact need to.....discuss your plans with your parents, or other caregivers? To be absolutely honest, reading everything you say, I believe that your whole idea is probably very very unwise at this time. I would strongly recommend that you cancel this plan of yours. The risks are far too high, and you could well find yourself in a very difficult situation.
  • Medco, Caremark, pharmacy-benefit management companies, as a patient, how does it work?   I have health insurance coverage by Anthem. Recently I've been reading about Pharmacy Benefit Managers and how a lot of their business is Mail order. I read they squeeze margins and take away business from retail pharmacy. But what I don't understand is, from a patient's perspective, how does this work? Do they have their insurance like Anthem, and then also Medco? Or is Medco their insurance? So a patient goes to their doctor and gets a prescription. Usually they'd then go to their pharmacy and pick it up, pay a co-pay while their insurance covers the rest. Where does Medco come in with their competing mail order? What's the difference between health insurance and these pharmacy benefit managers? Please keep your answer in the perspective of the patient. I've read about it from the business angle and I'm confused as hell to how it works. Thanks in advance!!
    • Pharmacy benefit management companies are employed by your health insurance company to manage your pharmacy benefits. Anthem, for example, offers their own PBM- Anthem Rx. Depending on your company, Anthem Rx may or may not be your PBM. Anthem does offer mail order Rx program. What you need to do to find out about your mail order service is to call the customer service number on the back of your prescription insurance card. They will be able to give you all the information you need to know. Most mail order business is for people on maintenance-type drugs like blood pressure or cholesterol. They fill 90 day supply prescriptions. So, if you take something like that, a mail order company may be able to help you. But if you're just filling antibiotics, you should just go to your local pharmacy. Look at the PBM as just an outside company that your insurance plan has chosen to handle your pharmacy benefits. Like I said, since you have Anthem health insurance, your PBM may or may not be Anthem. For example, I have Blue Cross/Blue Shield of RI and my PBM is Pharmacare. Contact the number on the back of your card for specific info.
    • If you're on maintenence medication - like for asthma or high blood pressure or something like that - it sometimes can work out to do mail order - you get a three months' supply of medication either for a copay and a half or two copays. For things like antibiotics or short-term treatments, it doesn't pay because it's often a few days before you actually get the medication. IMO - the only thing that stinks about them is not being able to have the prescriptions quickly. Sometimes people run out of medication unexpectedly (they lose count or something) and these places can't get them out as fast as a local pharmacy.
  • is there any a person or place to help fund lap-band surgery?   i have bad health and i'm 5'1 and weigh 240 ( i know sick huh?) I have tried diet after diet and nothing works. i can not excercise because of arthritis and fibro hurts too much .i get out of breath to where i feel like im gasping for my last breath . my husband lost 70lbs. on the atkins diet but i have high cholesterol. i'm a 37 yr old woman who feels lost , weak and very disturbed at myself. i was always thin until 1994 when it was found that i had thyroid cancer i was 24. as soon as i got home from the hospital my life went spiraling down hill from then. i automatically started gaining weight and have not stoped. i'm so tired looking like this but, i need serious help. my husbands insurance anthem bcbs will not help at all. it isn't right. he pay's 340.00 a month for insurance and no help from them. please if somebody knows something to help please, please give advice. thank carolyn
    • My cousin had bariatric surgery earlier this month...she contacted her local Vocational Rehabilitational Center (she lives in NC) and they qualified her for assistance. I hope this helps and wish you much luck and blessings on your endeavor. Additional note: She's also 37 and was on 18 meds a day for: arthritis, asthma, thyroid, high blood pressure, diabetes, cholesteral, sleep apnea (slept with a machine), etc. She had the surgery on 9/8...I spoke to her on 9/21 and she is off all meds except thyroid.
    • Gastric Bypass Surgery /gastrectomy/stomach stapling / lap band (all types of bariatric surgery) is very safe nowadays. It is very cheap in India. There is one company that is very famous in India that arranges obesity surgery for foreigners in India. They are called the Forerunners Healthcare. I read a lot about them in the Newspapers and about their patient stories. I have also read that they arrange financing for American and Canadian patients, as obesity surgery is not covered by insurance. They also have photos pasted of their International patients. You can checkout their website. The cost savings are incredible. As a doctor i personally believe that your obesity surgery can be easily handled in India, as the quality of healthcare available here is simply best in the world. The surgeons are USA/UK trained and facilities are 5 star. My cousin got her surgery for gastric bypass in India through the forerunners healthcare .She is more than very happy with the results. She has lost 65lbs in 5 months. She just paid 25% of the amount she was quoted in USA and is all praise for this forerunners healthcare company. Hope this helps.

 

 

 

 

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