Last year and this year, I have asked over and over again for some help in getting information about why the OPM is allowed to prohibit common prescriptions based on seemingly gender-centric reasons. There are maybe one or two reasons why these decisions apply to females as well, but the policy language is clear.
In March of 2014, I started asking for a medication which would treat two health problems. In March of 2015, after a year of waiting, I finally got the medication I asked for. Five different doctors sent authorization requests for the wrong diagnosis.
All along in this process I had been told by Blue Cross-Blue Shield that the medication in question was only able to be prescribed for a certain condition and no others. According to them, no medications for “…inadequacy, dysfunction, or sex change…” would be approved, according to the plan approved by the OPM.
I called the OPM several times over the last year.
One of the times I actually got to speak to an OPM employee in the section where these plans are drafted and approved, only for Blue Cross-Blue Shield. The man I spoke to said he didn’t remember a particular reason for prohibition of this medication, but did remember that things are cut and added to these plans on a cost benefit basis mostly.
Then I tried contacting my U.S. Senator on this issue. This is where the progress stopped.
Next time: OPM has a non-response to the complaint.