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Trouble With Insurance

A MyPsoriasisTeam Member asked a question 💭
Tiffin, OH

Does anyone else have trouble with their insurance paying for biologics? Right now I am twenty two days late for mine, waiting for preauthorization. Any suggestions to make this easier?

September 29, 2021
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A MyPsoriasisTeam Member

Some insurances really suck but most just have hoops to jump through for your doctor. If you can message your doctor's office to look into it, do so. If you have a crap insurance that wants to delay and say no if possible, the full court press is to call your doctor's office and speak with his nurse. Meanwhile call the insurance and bug them until they either comply or assign you a case manager who will also bug your doctor's office. If your insurance is through an employer, bonus round for calling HR and asking them to call insurance to inquire as to the delay. If all of the above doesn't move them, make a call to your senator's office and have them inquire as to the delay. Not likely to mess with your case twice. Make sure your ducks are in a row before that or you give them an excuse. My Humira is $12,000 per month so the delays are inevitable but going without medicine is not.

September 29, 2021
A MyPsoriasisTeam Member

Thanks, have to do that next

October 2, 2021
A MyPsoriasisTeam Member

Just keep being a squeaky wheel! I had to try Methotrexate first before mine would approve Humira. Methotrexate didn’t work for me at all. My doctor decided to put me on Humira and got approval on the first try. I was surprised because I’ve heard of so many others getting turned down😖. Some insurance companies just choose to be difficult for some reason. Just keep pushing. And, if you do get approval, find out about co-pay assistance programs. The 2 dosepens I get each month would’ve been $6,000 without insurance😱 My co-pay was going to be close to $600/month. I couldn’t pay that. I called around to different foundations, charities, etc that help with what your co-pay doesn’t cover. After talking with several, with no luck (no funds at the time, covered Humira but not for PsA, yadda yadda), I got in touch with Humira Complete, they signed me up for a savings card and I pay $0/month!👏. Took 5 minutes!😄. Good luck to you!

October 1, 2021
A MyPsoriasisTeam Member

i have the same problems, girl. i throw 100 fits dealing w them but i kinda came to the point of harrassing my derm to do the heavy liftjng for me by saying “yea you all have me playing phone tag so i give up and will just suffer in the pain” and i guess that was enough of a guilt trip for them to stop with the games. been to 3 docs and its the same thing everywhere u go gf

October 3, 2021
A MyPsoriasisTeam Member

Hi Sarge. Sending my love!Hope you are well.

September 30, 2021

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