Let me re do this. I accidentally hit the wrong key. Leslie A. Farber, a member of our GLBT section and an excellent attorney (P:973-509-8500 x213); or Ted Bohn, licensed in NY & NJ; does a lot of federal court work and is excellent in insurance claims (P: Office: 212-787-0319; Other: 631-512-2412
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Marianne Auriemma Esq.
Maywood NJ
(201)712-9663
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Original Message:
Sent: 04-28-2014 14:34
From: Carol Weil
Subject: "Intersex" Client Needs Atty Poss. Insur. Discrimination
Client, whose mother took DES during pregnancy, is diagnosed "intersex" which means has the characteristics of indeterminate sex. He is prescribed a certain gel that is basically testosterone...the insurance will not pay for it now (after having it raised in price higher and higher) so now he cannot get it at all. He is on NJ PAD assistance...the state pays the premiums and MEDCO pays for the medications. The client seems knowledgeable and has called many people and says that some say it is the fault of ACA ("Omamacare") but others say the formulary has just "changed." No one will explain how the formulary changed or will send a copy. Client thinks this is discrimination because of the sex-change thing (insurance companies won't pay for sex-change prescriptions) , except that here there is no "sex change" since biologically there is no specific sex and the need is to keep one sex, not change to a different sex. I don't know whom to go for a referral for this client, who is in need of help. Any ideas??
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Carol A. Weil Esq.
1405 Chews Landing Rd., Ste. 8
Laurel Springs NJ
(856)352-0050
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