NurseAsh_DET said:InsuranceTom said: ...regarding the discontinuation data for cost and coverage...
Can confirm. Same sequence, different timescale. The detail I would add is minor and it is already implied above.
jason_paloalto said:InsuranceTom said: ...my insurance denied cost and coverage coverage because...
Insurance update relevant to cost and coverage: I just got my prior auth approved through UnitedHealthcare after 4 attempts.
What finally worked: a letter from my endocrinologist documenting BMI history (>3 years), failed diet attempts, comorbidities (NAFLD + metabolic syndrome), and referencing the STEP trial data.
If your PA keeps getting denied, don't give up. Request a peer-to-peer review between your doctor and the insurance medical director. That's what finally broke through for me.
jason_paloalto said:InsuranceTom said: ...my insurance denied cost and coverage coverage because...
That reframing is the part I needed. Printing the relevant bit and taking it with me.
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My insurance denied my PA related to cost and coverage. Has anyone successfully appealed? I'm considering going compounded instead.