Question posted by sueheston63 on December 12th, 2012

Coverage Through Pharmacy Or Physician?

An Express Scripts representative (via telephone) told my husband he would be "covered" for a Shingles shot, so when he went to the doctor, he got one.  However, when he sent in the bill, Express Scripts told him he should have gotten the shot at a pharmacy (after the fact).  Now he is faced with a $332 bill to the doctor.  Why wasn't he informed that he should've gotten the shot  at a pharmacy & NOT the doctor's office? We're retired, on a fixed income, & have Humana Medicare.  Now, what should he do?????    

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