General Discussion

ProfessorGAC

(74,557 posts)

5. Again, Not A Legal Expert, But...

Thu Dec 22, 2022, 08:04 PM

Dec 2022

...I had a related experience with this.
My Medicare supplemental is BCBS. They do not have a national contract with CVS.
At the time, CVS was the only pharmacy in town, and BCBS said they didn't cover any non-contractual prescriptions, more than once, for one med, for 30 days. After that I'd have to find a pharmacy with a national contract.
The mail order company I tried was a CF, so I went to a different town for a Walgreens.
Fortunately, a pharmacist who lives in town opened a dinky prescription shop that agreed to take a contract for whatever BCBS pays.
He got 800 customers switching pharmacies in the first 6 months. So, it worked out for everybody.
But, that might be similar to what they mean. A provider to you might be covered one time non-contractually, but not after that.
Just a guess, based upon what happened to me.

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what does non contractual in dummies 101 mean? thanks [View all] AllaN01Bear Dec 2022 OP

Not included in a contract? pwb Dec 2022 #1

In my experience, it means work beyond the contract. albacore Dec 2022 #2

Question Is Too Vague To Answer ProfessorGAC Dec 2022 #3

i got this letter in the mail saying ( im on medical, same as medicare AllaN01Bear Dec 2022 #4

Again, Not A Legal Expert, But... ProfessorGAC Dec 2022 #5

talked to a friend of mine who was 27 years accounts reciveable put it in AllaN01Bear Dec 2022 #6

Then It Was What I Feared It Might Be ProfessorGAC Dec 2022 #7

thanks . the hunt is on. i see my phyysicians assitant in january and will ask. AllaN01Bear Dec 2022 #8