Prior Auth, my beloathéd
Jul. 28th, 2025 09:54 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
July 22: I message my symptoms team for a refill on my primary pain med (which is still only the next step up from Tylenol 3). And yet, it's what keeps me from regularly screaming when I exert myself in a way that stresses my right hip. I have 21 + 5 (a week plus a day and 2/3) left.
July 24: A list of detailed follow-up questions from the symptoms nurse, and my detailed reply. About 20 left.
July 25:
Hi [Azz],
I wanted to let you know that [doctor] sent a refill of the [med] to the Costco!
[Discussion of discontinuing another med]
And can I just say how much I enjoy your MyChart messages; I am always impressed at how in tune you are with your body.
Take care,
[Nurse]
Me: It's time to renew my prior auth again, alas.
Nurse: Aw dang!
No worries though, you gave us time (thank you by the way).
I have asked our billing specialist to help with this so we will call the Costco when we get it and then let you know.
Thanks,
[Nurse]
About 17 left.
***
July 26: About 14 left.
July 27: About 11 left.
***
July 28
Different nurse:
Hi [Azz],
We needed a new prior authorization on [med]. We received approval for this over the weekend. However, Costco has been unable to get this medication to process. They are in the process of calling your insurance to figure out where the issue lies.
[Image of prior auth as sent to doctor]
I will keep you updated
Thanks,
[Nurse]
Me: Thanks for the update!
***
A hair bleaching, trip through the shower, and time to drip dry later, I figure I will call Costco pharmacy and see what they've discovered, since they're still open and the symptoms care office is not.
[Call time: 6 minutes 54 seconds]
***
Me: I talked with darling [Don't Panic Pharmacy Assistant] at the pharmacy, who had my back the last time UHC was like this, and we had a real good chat about the state of things at UHC, and she is putting me through for 12 days so I can have some breathing room while you and she go and wrestle alligators. I will get that picked up tonight and we'll see when UHC can be made to see the light.
I drive to the pharmacy.
I receive my jar.
I tell our friend that I was so glad it was her who picked up when I called.
Don't Panic Pharmacy Assistant tells me that when she took my call about the prior auth on my med, the rest of the pharmacy was looking at her funny, because she swapped registers straight out of professional. "Is that a family member on the phone?" And yet again we had words about United Healthcare. Also, the pharmacy we used to go to is shutting down; she has this from her friend and ours, the guy with the Emperor's New Groove pin. He prefers to stay with that company, so he's not coming to Costco.
***
About 8 left, plus 12 days.
July 24: A list of detailed follow-up questions from the symptoms nurse, and my detailed reply. About 20 left.
July 25:
Hi [Azz],
I wanted to let you know that [doctor] sent a refill of the [med] to the Costco!
[Discussion of discontinuing another med]
And can I just say how much I enjoy your MyChart messages; I am always impressed at how in tune you are with your body.
Take care,
[Nurse]
Me: It's time to renew my prior auth again, alas.
Nurse: Aw dang!
No worries though, you gave us time (thank you by the way).
I have asked our billing specialist to help with this so we will call the Costco when we get it and then let you know.
Thanks,
[Nurse]
About 17 left.
***
July 26: About 14 left.
July 27: About 11 left.
***
July 28
Different nurse:
Hi [Azz],
We needed a new prior authorization on [med]. We received approval for this over the weekend. However, Costco has been unable to get this medication to process. They are in the process of calling your insurance to figure out where the issue lies.
[Image of prior auth as sent to doctor]
I will keep you updated
Thanks,
[Nurse]
Me: Thanks for the update!
***
A hair bleaching, trip through the shower, and time to drip dry later, I figure I will call Costco pharmacy and see what they've discovered, since they're still open and the symptoms care office is not.
[Call time: 6 minutes 54 seconds]
***
Me: I talked with darling [Don't Panic Pharmacy Assistant] at the pharmacy, who had my back the last time UHC was like this, and we had a real good chat about the state of things at UHC, and she is putting me through for 12 days so I can have some breathing room while you and she go and wrestle alligators. I will get that picked up tonight and we'll see when UHC can be made to see the light.
I drive to the pharmacy.
I receive my jar.
I tell our friend that I was so glad it was her who picked up when I called.
Don't Panic Pharmacy Assistant tells me that when she took my call about the prior auth on my med, the rest of the pharmacy was looking at her funny, because she swapped registers straight out of professional. "Is that a family member on the phone?" And yet again we had words about United Healthcare. Also, the pharmacy we used to go to is shutting down; she has this from her friend and ours, the guy with the Emperor's New Groove pin. He prefers to stay with that company, so he's not coming to Costco.
***
About 8 left, plus 12 days.