2 /5 John S: Anthem abruptly and recently dropped Scripps as a care provider as they couldn’t come to terms, Scripps wanted increase costs, too high apparently.
Just came down w Covid, requested script for Paxlovid from primary care at Scripps because haven’t had time to switch to a new (Anthem Scripps divorce happened in January)
Had pax script almost same time last year but didn’t want to do telehealth because insurance wont cover it now and it’s a 5 minute conversation for likely several hundred dollars. Long story short primary said no, wanted telehealth or Scripps Express visit before issuing.
Scripps, obviously for monetary reasons and in all fairness Anthem likely has culpability, has otherwise ditched the well being of their former patients. So it doesn’t surprise me as a result that primary care providers aren’t going to do us any favors despite the chaos having zero empathy to simply execute a mundane script. It’s not like it’s a controlled substance or they don’t have access to current medications (none). There was a time when providers were a bit more human and understood that exceptions were apart of provider care. No longer, not even under the slightest duress.
What about out of network care? Yeah Scripps has also stated they won’t file OON claims, pretty much a step off to former patients let alone we’d still have to meet OON deductible levels first.
Edit: Cleaned up for slang and post heat of moment rationale.