Q: How to resolve prescription and insurance coverage delays in Puerto Rico?

A: Attorneys who practice in Puerto Rico could advise best here, but you posted last week, and the question may have gone overlooked under the heading of "Washington." You could repost under "Puerto Rico." There are many experienced attorneys on this site there who could see your question under the new heading (click "Show More States" at the bottom of the list of states). Until a local attorney is able to advise, you could also reach out to the Department of Insurance. Nationwide, such agencies handle consumer grievances within the insurance industry. It may be under "Oficina del Comisionado de Seguros." Good luck

A: You can start by formally requesting documentation from both the prescription agency and the insurance company in writing. Clearly state that you need proof of their communications and decisions regarding coverage, and keep copies of all correspondence for your records. This creates a paper trail that can support your case if further action is needed.

Next, contact your insurance company directly to confirm the coverage terms and ask for written confirmation regarding why the prescription was delayed. Ask for the name and contact information of the representative handling your case so you can follow up consistently.

If the issue persists, consider filing a complaint with the Puerto Rico Office of the Insurance Commissioner or the local Department of Health. You can also escalate the matter by involving your prescribing physician to advocate for timely dispensing and to send supporting documentation to both the agency and insurer. Staying organized and persistent often helps resolve long delays and ensures you receive the prescribed amount.