Doctor: this medication is extremely important for you to take

@GoFish this ruined my morning I’ve already been paying out of pocket for one of my doctors all year because it’s for my autoimmune stuff and insurance refuses to cover it now

@MommaBear oh that sucks . sorry 😐🥹

@PatientlyWaiting25 sad thing is they will probably say the same thing, not covered, take this instead

@PatientlyWaiting25 Sadly, I think that’s inevitable eventually - whatever party is in power. It’s just too expensive, and not enough people contributing anymore 😞😞😞

@PatientlyWaiting25 it’s awful

@MsSwan I hate it

@MommaBear Fuck their excuses, there are steps they are supposed to go through. I got this off of facebook but it sounds reasonable. I live in dread of the day I have to fight for my daughter's meds so I saved these suggestions:

1 "Send me the denial in writing, with the exact reason"
2 "Which medical criteria did you use to deny this"
3 "I'm filing an internal appeal. Confirm my deadline in writing"
4 "I want a peer to pear review between my doctor and your medical director"
5 "Send me my complete claim file. I'm entitled to it"
6 "If you uphold the denial, I'm requesting an independent external review"
7 " If this isn't fixed, I'm filing a complain with my state insurance department"

Your state just turned somewhat blue, bring the state level politicals onboard. They would probably love a chance to fight for a young momma with a house full of kids (future voters).

@ineedadrink thank you I’ll definitely be looking into it more

@MommaBear A guy I used to know told me that the insurance companies expect most people to just accept their denials without fighting back. Be the exception that fights back, knowledgably.

@Captainjackass me too it’s so stupid