My psychiatrist prescribed me Sam-E. He wrote a letter explaining its medical necessity so my insurance would reimburse me for it.
How do co-pays and quantity limits work in situations like this? I’m far past my max out of pocket for 2022 so medical treatment & products are free for the next two weeks. Could I just buy 12 months worth of San-E, submit to my insurance for reimbursement, and get a check for the full amount?
Feels like that couldn’t/shouldn’t work, but these bureaucracies are so complex that logic often doesn’t line up with reality.
(I’m in USA)
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