Insurance company starts with a C and ends with Igna.
I’m trying to get my medication filled, but it requires a prior authorization. My doctor filed the prior authorization form and the insurance company requested additional information. My doctor submitted additional information and the insurance company claimed this was insufficient, asking for more. I called the insurance company asking exactly what they need the doctor to submit. I communicated this to the doctor and they submitted it, insurance said it’s still not enough and ask for more. I’m going to run out of medicine soon so my doctor asked for an expedited review, insurance denied this request and said I have to wait 15 days!
This is not just an issue with my medicine or doctor. This is a family plan and other family members have been given the runaround as well with trying to get prior authorizations approved. I’ve never had an insurance company give this much trouble approving a PA.
What can I do to get this prior authorization approved quickly? I submitted a complaint to my state’s insurance board and they forwarded that to the insurance’s state. I also sent an executive carpet bomb email with no response (format was correct, I got 1 auto reply saying someone was on vacation).
In worst case scenario if I have to pay out of pocket until this is resolved, do I need to sue to get paid back? Would it make sense to sue for wasted time asking for unnecessary information? It seems like the insurance company is dragging their feet to try to save money, which I think is illegal.
Crossposting to Insurance subreddit.
submitted by /u/Sea-Hope-1879
[link] [comments]Insurance company starts with a C and ends with Igna. I’m trying to get my medication filled, but it requires a prior authorization. My doctor filed the prior authorization form and the insurance company requested additional information. My doctor submitted additional information and the insurance company claimed this was insufficient, asking for more. I called the insurance company asking exactly what they need the doctor to submit. I communicated this to the doctor and they submitted it, insurance said it’s still not enough and ask for more. I’m going to run out of medicine soon so my doctor asked for an expedited review, insurance denied this request and said I have to wait 15 days! This is not just an issue with my medicine or doctor. This is a family plan and other family members have been given the runaround as well with trying to get prior authorizations approved. I’ve never had an insurance company give this much trouble approving a PA. What can I do to get this prior authorization approved quickly? I submitted a complaint to my state’s insurance board and they forwarded that to the insurance’s state. I also sent an executive carpet bomb email with no response (format was correct, I got 1 auto reply saying someone was on vacation). In worst case scenario if I have to pay out of pocket until this is resolved, do I need to sue to get paid back? Would it make sense to sue for wasted time asking for unnecessary information? It seems like the insurance company is dragging their feet to try to save money, which I think is illegal. Crossposting to Insurance subreddit. submitted by /u/Sea-Hope-1879 [link] [comments]Read Morer/HealthInsurance