Employee Benefit Plans
Ventegra, Inc., A California Benefit Corporation
Reviews
2 Customer Reviews
Review from Brandi M
2 stars10/02/2024
Ventegra took over pharmacy management for my insurance company this year. They have denied 2 migraine medications that I need to function and work as an ER nurse. After many phone calls and appeals, I have been able to get one of the medications. I dont know why this company thinks they know better than the neurologist I have seen for many years what medications I do or do not need. The denial they sent was a scam as it said I have to try and fail more than one type of medication to be approved. Well I have tried many and failed as I have had migraines since the age of eight. Further, I truly feel sorry for those with less health literacy trying to get medications with this company because I have a Masters in nursing and an undergrad in public health education and still cant get anywhere. I am grateful for the medication they do cover and the temporary authorization for one year on one of the medications. Thank you- ****** *****Review from Kim P
1 star09/09/2024
Getting the medication your ** wants you to take is like pulling teeth ! You jump through their hoops but they lose paperwork or want you to take a med they must be getting a kickback from that doesnt work as well as what your doctor wants you to be on !
Ventegra, Inc., A California Benefit Corporation Response
09/12/2024
We are truly sorry for your experience and understand the frustration and disappointment you may be feeling. While we sincerely appreciate this feedback, it lacks the pertinent details we would need to determine whether this is a legitimate situation for us, or if instead, (1) it involves another party involved in coverage, or (2) if this issue is even applicable (the patient may not be eligible or the drug may be excluded from coverage by the benefit). In general, the patient, you, has the right to receive any medication prescribed by any provider, but the issue revolves around who pays for the medication. Ventegra provides a service to employers who deploy our products and services to manage the healthcare benefit for their eligible employees and dependents. The cost of the benefit is paid for by the employer, and coverage is dependent upon how much the employer wishes to pay for the selected benefit. Ventegra simply administers this benefit as defined by the employer. There are other alternative solutions in the market by manufacturers, other pharmacy providers, discount card solutions, loyalty programs, etc. that a patient could access to get any medication they desire. We encourage you to contact us if youd like us to provide more specific details to address this particular issue.
Customer Review Rating
Average of 2 Customer Reviews
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