caribbean
TUG Lifetime Member
Reading the other poster’s problem with prescription fraud made me decide to ask Tugger’s help on my situation.
My husband’s ex-wife has committed prescription fraud for at least two years. They were divorced in 1999 and she was removed from his healthcare coverage in 2000. She still uses her married name. We married in 2003 and I was added to his healthcare plan at that time. I retained my maiden name.
In the spring of 2004 I was pulling prescription records off the Medco website to document for taxes and noticed that the ex was having prescriptions paid off his health coverage. I do not know how long this had been happening because the records did not go back past Jan 2004 when his employer switched to Medco. We tried talking & writing to Aetna, Eckard, Medco, and his employer in an attempt to get this stopped. Everyone pointed the finger at someone else as responsible and no-one took any action. We were finally able to get the individual pharmacist at the Eckard store to mark her file and discontinue filling her prescriptions through his health plan. Only to have her switch to CVS two weeks later. Calls to CVS did nothing. The pharmacist at CVS said as long as Medco paid the claim, they didn’t care. This went on for almost 2 years until such time as an auditor contacted us to ask ME to prove I was married to David. They finally cut her off.
She was filing as wife using my husband’s SSN. I do not know if she was using my name or her’s. I had been concerned about the possible effect that the long list of her drugs might have on MY medical insurance record if they were reported to the Medical Information Bureau. She has severe medical problems and if reported in my name, it could affect my ability to get insurance coverage. She does have her own medical coverage, which includes prescriptions, but I suspect that her co-pay is higher on her own policy. Her drug tab paid by Medco over the 2 years was well over $8000.
We tried repeatedly to get it stopped, but no-one seemed concerned. I had not thought about it being considered identity theft, but maybe this is a form of such. I was concerned with the insurance fraud. I even spoke to a lawyer about possibly filing against her, but he said unless I could prove that her actions had indeed kept me from getting insurance or had made me pay a higher premium, I really had no case, that I had to have actual losses in order to win a judgment.
Any ideas or suggestions on what action I might take on this matter. Should I report her to the State (FL) Insurance Bureau?? What action can I take??
Thanks,
My husband’s ex-wife has committed prescription fraud for at least two years. They were divorced in 1999 and she was removed from his healthcare coverage in 2000. She still uses her married name. We married in 2003 and I was added to his healthcare plan at that time. I retained my maiden name.
In the spring of 2004 I was pulling prescription records off the Medco website to document for taxes and noticed that the ex was having prescriptions paid off his health coverage. I do not know how long this had been happening because the records did not go back past Jan 2004 when his employer switched to Medco. We tried talking & writing to Aetna, Eckard, Medco, and his employer in an attempt to get this stopped. Everyone pointed the finger at someone else as responsible and no-one took any action. We were finally able to get the individual pharmacist at the Eckard store to mark her file and discontinue filling her prescriptions through his health plan. Only to have her switch to CVS two weeks later. Calls to CVS did nothing. The pharmacist at CVS said as long as Medco paid the claim, they didn’t care. This went on for almost 2 years until such time as an auditor contacted us to ask ME to prove I was married to David. They finally cut her off.
She was filing as wife using my husband’s SSN. I do not know if she was using my name or her’s. I had been concerned about the possible effect that the long list of her drugs might have on MY medical insurance record if they were reported to the Medical Information Bureau. She has severe medical problems and if reported in my name, it could affect my ability to get insurance coverage. She does have her own medical coverage, which includes prescriptions, but I suspect that her co-pay is higher on her own policy. Her drug tab paid by Medco over the 2 years was well over $8000.
We tried repeatedly to get it stopped, but no-one seemed concerned. I had not thought about it being considered identity theft, but maybe this is a form of such. I was concerned with the insurance fraud. I even spoke to a lawyer about possibly filing against her, but he said unless I could prove that her actions had indeed kept me from getting insurance or had made me pay a higher premium, I really had no case, that I had to have actual losses in order to win a judgment.
Any ideas or suggestions on what action I might take on this matter. Should I report her to the State (FL) Insurance Bureau?? What action can I take??
Thanks,
