Patients and Physicians Speak Out
Prior authorization burdens negatively impact patients and health care professionals around the country every day. Explore their stories and share your own experiences to make your voice heard on the need to #FixPriorAuth.
Featured Stories
Yes, just last year I needed knee surgery. The insurance made me go through 2 weeks of resting it then 3 weeks of physical therapy plus a fluid removal attempt. All this before I could even get an MRI that my ortho doc with 40 yrs experience knew I needed in the first place. After the MRI I had to wait 2 more weeks for approval. From start to finish I was laid up 4 months and even lost my job because I ran out of FMLA. Now I have a wrist injury and I am not going for treatment because I really like my new job and I am afraid to go through it all again.
I went almost two weeks without long-acting insulin and two days without even short-acting insulin waiting for prior authorizations. This landed me in the ER 3 times and sent me into a pancreatitis flare. And wasted about 3 hours of my doctor’s time to get insulin. This was not new either; I have been diabetic since I was a kid, so about 25 years. They also made me switch what kind I use, and that caused my sugar to be out of control for weeks, even after I finally got the insulin, while I determined my correct bolus dose of the new insulin.
Share Your Story
Have you ever gone to the pharmacy to fill a prescription only to be told that your insurance company requires approval before they'll cover your treatment?
Have you ever waited days, weeks or months for a test or medical procedure to be scheduled because you needed authorization from an insurer?
Are you a physician frustrated with the administrative headaches and their impact on your patients?
Have prior authorization delays caused you to take more sick days, be less productive at work or miss out on day-to-day life?
Share how prior authorization has impacted you, your loved ones or your patients to draw attention to the need for decision-makers to address this issue. Your voice can make an impact.
All Stories
Use the buttons below to explore how prior authorization impacts both health care professionals and patients throughout the country.
I did prior authorizations for years in a physician’s private office as the practice’s RN. GOOD LUCK to all of you unfortunate enough to have to do this job!
[Prior authorization] shackles my ability to help get the medications my patients need. I have had countless instances where patients have had worsening disease because of the delay and inadequacies of the current PA system.
I'm a breast cancer survivor. I live in a rural area in southern Illinois.The red tape I go through is insane, especially to obtain my breast MRI each spring that's ordered by my breast surgeon. It scares me because if my cancer does return, I want to be able to begin treatment as soon as possible, without waiting to wade through a bureaucratic mess.
I had a few incidents this year where my son was hospitalized …Took his prescriptions over to the pharmacy after each release. The pharmacy calls me later and tells me the insurance needs to get this authorized . . . The pharmacy was not able to get a hold of the doctor that afternoon. I asked the pharmacist what can we do, he needs the medication and cannot skip it. They look up the cost and it was over $1,400 dollars for a 15 day supply. I didn't have the funds for that. Luckily, there was a refill on a lower dose of that medication on file that had been approved before so all I had to give him was double that dose. When they finally were able to get a hold of the doctor he called the insurance company. If there had not been a refill on file for the lower dose we would have had a big problem on our hands. I would have had to take him back to the hospital.
Yes. My husband went without blood thinners for two months because we switched insurance carriers (because I switched jobs and had no choice). He could have had a stroke or pulmonary embolism, but the insurance company doesn’t care!