Prior authorization has become a nightmare. I cannot tell you how many times I receive incorrect information (i.e. call three different people and get three different answers. This doesn't make me feel confident). As well as the fact when you do call as the patient is waiting for treatment the doctor and his technicians are waiting to do their job, you are on hold. You jump through hoops to finally get through to a live human being, only to give the same info you have given three or four times already. It backs up our entire day and flow. Not to mention the back of the insurance cards do not always give the pharmacy benefit manager so you are re-routed to maybe one (if lucky) or two different departments. As a healthcare worker for more than thirty-five years, I have only seen this process get more and more difficult to navigate. I feel it does not serve the patients nor the doctors and staff. We try to treat and care for our patients with the best intent with our hands tied.

First Name: 
Deborah
Last Name: 
C.
State: 
State
E-mail address: 
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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 for days, weeks, or months for a test or medical procedure to be scheduled because authorization from an insurer? Or are you a physician frustrated with the administrative headaches and their impact on your patient?

Prior authorization is a burden on patients and physicians alike. The process is confusing, time consuming, and — most importantly — can cause delays in patients receiving the care they need.

Please tell us know how prior authorization has impacted you. We are looking for stories from patients and physicians to highlight and draw attention to this issue that is impacting the health of so many Americans.