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Old 07.02.2015, 12:25
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Add/adhd meds as an adult

I learned an interesting thing this week. If you're over 20, basic insurance will not cover ritalin, but in some cases will cover concerta (long acting variant). Apparently not even supplimental insurance will cover ritalin, even with a physician's prescription. It's not a big deal as ritalin is fairly cheap, so one simply pays out of pocket.

Does anyone have further information or experience with this? Thanks.

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Old 07.02.2015, 13:11
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Re: Add/adhd meds as an adult

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Does anyone have further information or experience with this? Thanks.
The assumption is that if you need such drugs and support (my son does), that you will have been diagnosed in your youth (can't remember the age) and that it is the responsibility of the state to cover such costs.
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Old 07.02.2015, 13:27
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Re: Add/adhd meds as an adult

That's not the case when one is diagnosed as an adult. Furthermore, it seems that whoever determines coverage believes most medications are only needed up to the age of 20. I'm trying to find out if anyone is covered as an adult.
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Old 07.02.2015, 13:33
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Re: Add/adhd meds as an adult

Hmm, I'm covered. Ritalin, Concerta, Dexamphetamine, they covered all the stuff we've tried. My doctor had to write to them though.
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Old 07.02.2015, 14:11
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Re: Add/adhd meds as an adult

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Hmm, I'm covered. Ritalin, Concerta, Dexamphetamine, they covered all the stuff we've tried. My doctor had to write to them though.
Mine wrote to them and they said no, too old. I think they used to though.
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