Q: My disabled son's governmentally assigned insurance company is not covering doctor prescribed medicine -- without cause.
My son has many diagnoses. In his case notes it is documented that he can only take ODT tablets. He does not have the ability to swallow medication. But, these types of pharmaceuticals cost more. The government assigned insurance companies (out of the blue) deny him coverage (often) "JUST BECAUSE" ODT tablets are more expensive. We are going through an appeal right now.
Since these medicines are doctor prescribed, and fit his diagnoses, I want to see insurance companies held accountable for causing unneeded pain & suffering to those with disabilities. When there is no reason whatsoever for them to arbitrarily deny prescribed medicines by a doctor (not a nurse practitioner) -- there needs to be proper representation to stifle their obvious avarice.
How could I find a lawyer that would be willing to take on this type of case with payment upon satisfactory litigation results? Thank you all!
-- A very disheartened and violated father
A:
An Oregon attorney could advise best, but your question remains open for two weeks. Your frustration is understandable, given the clear medical necessity for ODTs.
To answer your question, you could find a lawyer through independent searches, the "Find a Lawyer" tab above, and the attorney referral pages of local and state bar association websites. These resources fall outside this forum, so any arrangements would be between you and law firms you might reach out to.
Before spending money on attorneys, it might be worth awaiting the outcome of the appeal you mention. Good luck
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