POZ Community Forums
Main Forums => Living With HIV => Topic started by: Miss Philicia on July 06, 2011, 12:53:17 pm
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So I was opening my mail which had accumulated for about 3 weeks on my desk, and low and behold when I opened this one envelope I was startled to see a check for $39,587.91 from something called Prescription Solutions in Cypress, CA
Their letter to me dated 12 June, 2011
Dear Enrollee,
It has come to our attention that you may have been required to pay a higher copaymnent amount foy our prescription medication than was required by you plan. This situation has bee corrected.
Enclosed, please find your reimbursement check from Prescription Solutions, the company that manages the retail and mail service pharmacy networks for you prescription drug plan. You will also receive a separate statement containing detailed information regarding this reimbursement.
ps: yes, I emailed my case manager about this but haven't heard back.
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I'm sure that you googled this, but I see Prescription Solutions is a United Health group company. Is that who you have?
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Holy crap! If that is legit... Congrats!
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I get my meds from them b/c I have United Health/Oxford.
I thought you always got your meds for free?
I guess this would be from as far back as when you had health insurance through work?
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Cash it and go out for a bit
- matt
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I'm sure that you googled this, but I see Prescription Solutions is a United Health group company. Is that who you have?
What? Who I have? What do you mean?
I have Medicare, plus Wellcare for Medicare Pt. D for medication. I've never heard of this company., though in fine print it says they handle Med-D for various entities.'
I'M SO CONFUSED
Who wants to fly to Santo Domingo with me? :)
Furthermore, should I just cash it and spend it quickly?
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A financial mistake on the part of a health insurer? I would have run to the bank giddy and never looked back.
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Furthermore, should I just cash it and spend it quickly?
You mean you have not done that yet? I would be at a branch of the bank it is drawn on, first thing in the morning. Cash that sucker and let the bean counters sort it all out. If it somehow turns out to be a mistake, you can blame de AIDS for your lack of comprehension as to what transpired and alas, now, the money is gone.
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Spend it, think of all the designer cups of coffe and hamburgers you can buy with that.. ;)
Aroha
Jan :-*
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Spend it, think of all the designer cups of coffe and hamburgers you can buy with that.. ;)
Aroha
Jan :-*
Or maybe Dominican uncuts of meat :o . Couldn't resist .
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Oh Ms. P. you are my favorite on these boards. So witty and smart. The world is a better place because of you!
Uh, by the way, do you need a ride to the bank? I can guide your hand as you sign the check in case you go weak at the realization of receiving hard cash while at the bank. I can also count the money to make sure you aren't short-changed as you recover.
<How did I do?>
:D
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Oh Ms. P. you are my favorite on these boards. So witty and smart. The world is a better place because of you!
Uh, by the way, do you need a ride to the bank? I can guide your hand as you sign the check in case you go weak at the realization of receiving hard cash while at the bank. I can also count the money to make sure you aren't short-changed as you recover.
<How did I do?>
:D
I'd give you 10 out of 10 for that, I'd call that fabulous crawling my dear, but will it work?, I dare say time will tell.. ;)
Aroha
Jan :-*
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Well, money is money, go to the bank Miss P!
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I would deposit it but wouldn't spend it until the mystery is solved. At least wait for the fine print.
This year I am reimbursing 1500 that was accidentally refunded to me and since it was directly deposited I never really noticed so it was spent along with all my other money.
Now I have no choice I have to pay it back.
35K would be a lot to have to pay back.
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I'm scared to cash it -- what if they want it back? IT SEEMS SINFUL!
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You deserve it.
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I need legal advice -- can't deposit this in my own checking account, right -- I'd need to do it at another bank, preferable in another state or something. Or maybe in Puerto Rico.
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Also, wouldn't this fuck up my ADAP qualification?
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Also, wouldn't this fuck up my ADAP qualification?
No, don't report it. I hope this turns out to be legit. Remember, I'm one of your bff's. ;)
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Also, wouldn't this fuck up my ADAP qualification?
When you deposit the check, or cash the check, the bank will file a CTR with the IRS since the check is greater than $10,000. But I doubt you would be required to report it as income since its technically an overpayment and not the result of a "trade" or business transaction. At least you could always make that argument.
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What I don't get it is: are you not sure if you overpaid? or Are you sure that you did not overpay?
Was there maybe a third party that was paying the co-pays for you?
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Girl if it was an overpayment, you know damn well it wasn't you that overpaid. I'm pretty sure you're bright enough to know you can't cash it, though you have been blinded by bling before. Of course you might enjoy the big house if you do decide to take this risk.
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That's chump change anyway ... I got an email last week from a very sweet Miss Johnson in south Africa who is gonna split 15 million with me as soon as I send he $5,000 for taxes or whatever .
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What Dachsund said.
Further, yes it could affect your ADAP. Not as income, but as an asset. In my state if a person has assets >10,000.00 (excluding house and car) then you aren't eligible. If your state has a similar limit, then you'd possibly be affected.
Don't cash it.
RAB
Edit to add: Maybe send JR Gabbard a pm asking what he thinks.
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Me thinks it's time for Ms. P to do the laundry.
Kidding.
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Like I clearly stated in my OP I'm meeting with my case manager next week to clear this up.
You fuckers really have a low opinion of Miss P :(
ps: I'm off to Santo Domingo tomorrow so I'll see you in September. Think of all the pinga I can procure for $40,000 dollars, plus drugs.
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ruh roh
http://www.complaintsboard.com/complaints/non-payment-c351128.html
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ruh roh
http://www.complaintsboard.com/complaints/non-payment-c351128.html
Even more puzzling, how did you get chosen to get the cheque? Totally random, or is someone leaking medical records?!
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ruh roh
http://www.complaintsboard.com/complaints/non-payment-c351128.html
I must be missing something, because this check scheme simply makes no sense. They send you a bogus check, hoping you will deposit it, for what purpose? They won't honor it, which might overdraw someone who could incur some bank charges, but even that makes no sense. Further, they have issued you a check on a legit bank, meaning legally they owe you that money and you could sue for payment and this is making my head hurt.
Enjoy your vacation and forget the check until you get back.
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ruh roh
http://www.complaintsboard.com/complaints/non-payment-c351128.html
It's weird b/c they are a legitimate company. I get my Rx through them and they are very professional in every way. There's actually another thread about them on here.
LINK:
http://forums.poz.com/index.php?topic=37161.0
To Miss P: Is this the same Prescriptions Solutions affiliated with United Health Care? Are you able to tell based on the check?
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To Miss P: Is this the same Prescriptions Solutions affiliated with United Health Care? Are you able to tell based on the check?
yes
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Also, wouldn't this fuck up my ADAP qualification?
Uh, yeah, in a heartbeat.
I would get some legal advice. Since it is supposed to be an reimbursement, I don't know if Social Security will count it as income or not, but, if they do, it could really make a mess of your SSDI.
Just sayin , , ,
HUGS,
Mark
Edited to add: Never mind, I just read about the phoney check scam thing.
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I don't think a reimbursement is "income" per se, as in that I would have worked hours for it. It's simply an over payment.
But whatever, I'm totally sure it's a scam. I've never paid a cent to this entity for any medical service -- it's simply a massive error of some sort. Probably a mix up with some other patient.
Still, I wonder if I can deposit in the Cayman Islands tax free :)
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I really think you should investigate this as thoroughly as you can. If it is a scam, it should be reported and something done about it. If it is a mix up with someone else, you should do your best to make sure it eventually gets cleared up and the money goes to the person for whom it was intended - they may really need it. That's what I would do, anyway.
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I think the following applies here..........
"If it seems to good to be true, it probably isn't".
Not sure why you wait to talk with a Case Manager, although I have no idea what Case Managers do, so perhaps that does make sense, but why not call the company directly? If you have never paid this company anything, then clearly this isn't your check, perhaps someone else is waiting for that money.
Mike
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It all sounds fishy to me honey....I'd be wary about cashing and/or depositing it. A $40,000 payday sure sounds nice though....
Does the check look legit? Check out the magnetic number strip at the bottom; I think there's a data base where you can look up the bank clearing number....
:-*
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Not sure why you wait to talk with a Case Manager, although I have no idea what Case Managers do, so perhaps that does make sense, but why not call the company directly? If you have never paid this company anything, then clearly this isn't your check, perhaps someone else is waiting for that money.
Mike
Because I don't feel like spending hours on the phone with a brain dead customer service person, plus I'm going to my HIV clinic for a doctor's appointment next Wednesday and I can drop off a copy of the check to my case manager at the same time.
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A few years ago I got a similar "check " from Bank of America..... since I dont deal with them I went to the local office and asked about the check....it took 30 mins for them to determine it was a scam..... using original BoA check stock..... the scam is that about a few days later you get a letter" aplogizing for the mistake"...asking to you to return the money and keep 200 hundred for your trouble...the return address is a drop box ( p.o.box) very soon the Bank will balance that account and find the fraud you will be liable for the entire sum
Nick
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How unfortunate -- I'm already enjoying a 10-day spa at the Mývatn Nature Baths in northern Iceland, not to mention the large mound of meth I snagged for the local boys.
http://www.jardbodin.is/English/About_us/
(http://i1007.photobucket.com/albums/af197/bedstuy65/50856225.jpg)
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A few years ago I got a similar "check " from Bank of America..... since I dont deal with them I went to the local office and asked about the check....it took 30 mins for them to determine it was a scam..... using original BoA check stock..... the scam is that about a few days later you get a letter" aplogizing for the mistake"...asking to you to return the money and keep 200 hundred for your trouble...the return address is a drop box ( p.o.box) very soon the Bank will balance that account and find the fraud you will be liable for the entire sum
Nick
That's exactly how the scam I read about works - I forgot the specifics of how it was done - but you just jogged my memory Nick --- and the bank will catch it and come after the person --- just the wording of the letter was suspicious to me - it is usually done from overseas, so the person can escape prosecution in the states.
Unless it was sent by Casey Anthony - and then she would escape prosecution regardless of where she was.
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Unless it was sent by Casey Anthony - and then she would escape prosecution regardless of where she was.
HA! that's awesome. ;D
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Let me throw my hat into the ring here...
I don't think this is a scam. MissP do you pay the copays or does ADAP or Medicare or some other 3rd party?? If so, then I bet they have been overpaying and the check will ahve to be turned over to them.
I dont know, but that's my guess.
-WIll
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I pay nothing.
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Ms. P. I am sure you will ultimately do what is sensible and appropriate.
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Ms. P. I am sure you will ultimately do what is sensible and appropriate.
Miss P already has....
How unfortunate -- I'm already enjoying a 10-day spa at the Mývatn Nature Baths in northern Iceland, not to mention the large mound of meth I snagged for the local boys.
http://www.jardbodin.is/English/About_us/
(http://i1007.photobucket.com/albums/af197/bedstuy65/50856225.jpg)
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hmmm... on the detailed stub of the check it lists two invoice numbers, and the date (6/9/2011) happens to be the day after I had my second appointment with my new podiatrist. I wonder if this has something to do with that?
No, not possible -- the attached short letter indicates it has something to do with retail pharmacy networks for my prescriptions.
Never mind.
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I would not be surprised if somehow someone's computer system got hacked or something to that effect - be on the lookout for that -- it happened down here at Jackson Hospital. Watch for identity theft - you may want to let your healthcare provider know - as they may not be aware of it - or your pharmacy provider.
Down here when it happened, they paid for one year of credit monitoring for people to make sure that no one started doing anything funny. I have actually had my info stolen from various sources a couple of times - luckily with no ill effect.
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gee... it's almost like all of you didn't read that my case manager is going to take care of this situation
must be come strong liquor this evening
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gee... it's almost like all of you didn't read that my case manager is going to take care of this situation
must be come strong liquor this evening
I read that - but your case manager is basically going to do the samething that we did --- they don't necessarily know everything - they will probably tell you the samething that you have been told here --- hopefully.
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Any suggestions for Power Ball numbers for tonight, David :P
Ray
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gee... it's almost like all of you didn't read that my case manager is going to take care of this situation
must be come strong liquor this evening
How are you going to see your case manager when you're living it up in Iceland? - Oh, I get it, you're jetting him out to you on the next flight. When is MY ticket going to arrive? Don't forget the flight from Ronaldsway to Heathrow (and back again). :)
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I read that - but your case manager is basically going to do the samething that we did --- they don't necessarily know everything - they will probably tell you the samething that you have been told here --- hopefully.
My case manager is a fierce lesbian named Mimi, and she's not just any case manager -- she's the executive case manager supervising a staff of seven other case managers in the largest HIV clinic in the 5th largest city in the US.
So stick it.
Also, the letter that came with the reimbursement check stated that there would be an additional letter forthcoming detailing these two reimbursement amounts, so no use doing anything with my case manager until I have this second letter.
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My case manager is a fierce lesbian named Mimi, and she's not just any case manager -- she's the executive case manager supervising a staff of seven other case managers in the largest HIV clinic in the 5th largest city in the US.
So stick it.
Yeah, well, I stayed at a Holiday Inn Express last night --- so that makes me fiercer!!!! so there!
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Yeah, well, I stayed at a Holiday Inn Express last night --- so that makes me fiercer!!!! so there!
Did anything get "expressed" at the Holiday Inn that we should know about?
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Did anything get "expressed" at the Holiday Inn that we should know about?
This made me think of expressing a dog's anal glands.
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This made me think of expressing a dog's anal glands.
Of course it would have made you think of your favourite pastime!
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Of course it would have made you think of your favourite pastime!
;D ;D ;D ;D ;D
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This made me think of expressing a dog's anal glands.
Must be a Louisiana thing ;D
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Of course it would have made you think of your favourite pastime!
There's an entire section on xtube!