Every year, I have to ask my physician to fill out a prior authorization for a maintenance medication that I have been on for 20 years. Frequently, I have to pay out of pocket as my doctor and I try to figure out what they want/need to authorize the medicine as the company will always deny first round. What is the point of denying coverage for a maintenance medication? What is the point of re-submitting the same paperwork year after year? It's costing all of us money, including the insurance company – who in turn charges us more.
Cindy M., Pennsylvania