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 retired a year ago after 38 years in the same office. One of the biggest reasons why I just couldn't do it any longer was prescription prior authorizations. I would sometimes work for 3 months to get an approval only to find out that the patient could not afford the $900 co-pay. (Yes, one patient's copay for a specialty injectable was $900!) … It made me so angry!”
My daughter had ALS. Her doctor ordered a PET scan of her brain. The appointment was set, medical transportation was set, co-pay paid. The day before the test the hospital called to say the prior authorization had not been received. My daughter passed away the day before we were supposed to go for the rescheduled test.
Do I hold my breath while waiting 3 days to breathe with inhalers? It's like a game of chess.
My son is 20 and has Crohn’s disease… The health plan insisted that he switch product brand, because of their insurance contract with said company. His immunologists from both coasts argued in writing and on the phone that since he has no antibodies to the antigens in that brand, it would surely cause an allergic reaction/hospital admission. This arguing lasted about 3 days - 3 more days of delaying carefully timed treatment that is helping him to stay in a sort-of remission state, by the skin of his teeth...It isn't wise and it isn't fair to add this burden to patients and their families, because living with and managing chronic illness is already fraught with many barriers. I am so exhausted.
I work with a surgeon, treating breast cancer patients as the majority of our patients. I recently spent over 10 hours trying to get a patient's surgery authorized.
I am an ex-nurse and a disabled veteran … I had a loose titanium knee and it took me almost two months to get surgery due to all the hoops & phone calls to get through. Because of the wait my loose knee had chewed up the top of my tibia which had to be replaced with some more metal after cleaning out the necrotic tissue & bone. There are real consequences to such a wait.