Prior Auth

The fact that the prior auth process exists underlines just how screwed up our healthcare system is in this country. Since the year started, we have had three prior auth issues with our insurer. The first was a prior auth for an MRI on Hubby’s knee to verify the extent of damage. The second was their denial of a prior auth request for a medication I’ve been taking since 2021. They denied it so quickly that I received a notification of the denial before receiving the notification that the authorization was filed. Lastly, they requested prior auth for the Mayor’s antibiotics to fight his post-surgical infection.

Now read that last sentence again. They now require prior authorization for antibiotics. Admittedly, I am not a doctor, however, I’m pretty sure that infections are supposed to be treated expeditiously. As a result, we ended up having to pay for the medication out of pocket. The doctor’s office couldn’t believe the insurance requested prior authorization for an antibiotic. This is an absolute abomination. Insurance companies shouldn’t be requiring prior auths for well-known first-line treatments.

Cigna, to their credit, did respond when I tweeted my disgust to them, Governor Desantis, Senator Rubio, and Representative Frankel. Nonetheless, it’s too little too late. I will be requesting reimbursement from their customer care team. I aim to ensure that we rein in this prior authorization nonsense here in Florida.. It is, however, a national issue. Fortunately, I work in insurance, so I can navigate the mind field pretty well. I can’t imagine how difficult the experience would be for people not familiar with insurance.

What activities do you lose yourself in?

I lose myself in baking, running, cuddling with the puppies, and reading. Those activities are my happy place. I love losing myself in a good book. Perhaps that’s why my night time ritual includes reading a book before bed with Anakin on my lap.