Otherwise, will the family Dr. need to set up a person with a specialist to get shots started? I've had about enough, just waiting for next scheduled visit to inquire.
The way mine works,I have to see an Orthopedic Specialist. You want them to do injection so they put in in the right place.
I have a Humana Medicare Advantage insurance.
The specialist takes x-rays and diagnose the problem.
The doctor's office sends in a request for approval to the insurance. When they get that, the doctor's office calls a specialty pharmacy to order the prescription.The Specialty Pharmacy calls me for a co-payment for which I give them a credit card number. Mine is $340 for both knees.The pharmacy calls me when they ship the prescription to the doctors' off and they call me to set up an appointment once they get it.
With mine,the drug cost does not count towards the total pharmacy medication for the year. Which is good because then I don't hit the Medicare doughnut gap.
