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Comment on Why do we have to do the health insurance company's job for them?

gamermanh@lemmy.dbzer0.com ⁨2⁩ ⁨months⁩ ago

My favorite is pre-authorization.

I need a pre-auth before my insurance will cover the Adderall for my ADHD. Every year I must renew this pre-auth or I will not get covered for my prescription.

What is a pre-auth, exactly? It’s a Dr. Promising that yes, this medicine they prescribed is medically necessary. No, prescription alone does not count. Yes, it can come from the same Dr. who prescribed it.

And yes, I have to do it yearly to “ensure it’s still medically necessary” because my ADHD could magically go away one day, apparently

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spaghettiwestern@sh.itjust.works ⁨2⁩ ⁨months⁩ ago
It’s beyond belief, but insurance companies do the same thing to amputees.

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- gamermanh@lemmy.dbzer0.com ⁨2⁩ ⁨months⁩ ago
  Oh I know, I had a family member make the joke about suddenly regrowing a limb
  
  It’s disgusting and absolutely should result in anyone who’s ever approved that being put against the wall for their pure evil
  
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- s_s@lemm.ee ⁨2⁩ ⁨months⁩ ago
  Any hassle they can create to manufacture a reason to deny coverage
  
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uis@lemm.ee ⁨2⁩ ⁨months⁩ ago
Wow. This is similar to what disabled people have to deal with in Russia. Like arm will grow back.

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- PM_Your_Nudes_Please@lemmy.world ⁨2⁩ ⁨months⁩ ago
  Oh don’t worry, disabled vets deal with it all the time in America too. Oh, that leg you lost during your deployment? Gotta prove it’s still missing, and that you’re still disabled every year.
  
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AlecSadler@sh.itjust.works ⁨2⁩ ⁨months⁩ ago
I have to do it quarterly for some reason. Annually would be…better, but still stupid. My doctor even thinks it’s dumb, so he usually just asks me all the rote questions…

…no he doesn’t, he usually goes blahblahblah you’ve been doing this for 10+ years we know the routine. Unfortunately I still have to make an appointment, have an appointment, pay the deductible for said appointment, just to get 3mos of a medication that, thus far, I have a medical need for.

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nul9o9@lemmy.world ⁨2⁩ ⁨months⁩ ago
Same with my MS. It’s frustrating to know that if they fuck around and feah their feet one year, i could be getting further brain damage without my meds l.

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Sam_Bass@lemmy.world ⁨2⁩ ⁨months⁩ ago
It means they have to compare your request to a list of allowances that change annually at the whim of Corporate

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