Common reasons refill requests get rejected are if you haven't completed follow-up appointments or lab work recommended by your doctor / provider.
When working with the pharmacy, we send refill authorizations to their exact location and avoid delays in filling the prescription. It also ensures the correct medication dose and formulation is refilled for your safety.
Many insurance plans choose not to cover brand medication to control their costs. This is a decision solely made by them and not by our practice. To ensure you get the appropriate treatment, we authorize medication within your plan's coverage. We encourage you to discuss with your insurance what is or is not covered under your plan.
Cancellation fees or no-show fees are charged when cancellation requests are not received before 48 hours of your appointment. Appointment slots are especially reserved for each patient as we do not double-book this time to make sure you have dedicated access to our providers. The fees prevent misuse of reservations and help realllocate the appointment to patients in need or on our waiting list. They do not apply in emergency situations.
Seeing a primary doctor first leads to better in-depth evaluations from our expert Endocrinologists. Primary doctor visits can uncover a wealth of health data that greatly enhances your appointment at Capital Endocrine & Diabetes. Visiting a primary doctor first also reduces the chance your insurance denies reimbursements. Even if a Even if referrals are not required by your plan, it might require certain tests to be completed by a primary doctor. Otherwise, insurance plans may not consider visits to an endocrinologist "medically necessary" and refuse covering medical costs. This means payments are out of your pocket, which we would like to avoid to save you money.
Please feel free to discuss any concerns directly with your provider. Our providers at Capital Endocrine & Diabetes account for the risk of side effects when prescribing medicine. Part of this analysis is to equally understand the risks of not taking a medicine for your health condition. Providers weigh such risks versus benefits when prescribing any medication. For example, some chronic health conditions such as hypertension, diabetes, high cholesterol or osteoporosis may not show symptoms early on but left untreated cause irreversible damage. We pride ourselves at CED to have an open conversation with each our patients to determine a treatment plan that maximizes their health outcomes.