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c/insurancefights·submitted 1 months ago by u/plain_titration_2024

unpopular opinion: most of what gets said here about formulary is guesswork

Discussionbranch of 8 comments

unpopular opinion: most of what gets said here about formulary is guesswork. Not a hot take, just something I have not seen said plainly here. Step therapy requires documented trial of preferred alternatives. It is not an argument to be won on merits; it is a record to be produced, and the record is what the appeal…

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8 comments, started 1 months ago
u/line_petrov44 points·1 months ago

Appeal deadlines run from the date on the determination letter. They are strict, they are short, and a missed deadline usually forfeits that level entirely.

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[removed]32 points·1 months ago

[removed by moderator]

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u/nikhil_asante34 points·1 months ago

Yes — quoting their own policy bulletin back at them is far more effective than arguing in general terms.

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u/plain_titration_2024OP14 points·1 months ago

Correcting myself upthread: the deadline was 11 days, not the figure I gave.

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u/plain_titration_2024OP0 points·1 months ago

Correction: that is a formulary exclusion, not a prior authorisation denial. Different form, different route, different deadline.

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u/hugo_pires-33 points·1 months ago

Kept a log with every date, name of department and reference number. When they claimed no record of a call, I had the reference.

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u/honest_syringe191 point·1 months ago

Agreed on the plan-year point. Criteria that applied last year may simply not apply now.

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u/marisol_moreau1 point·1 months ago

a peer-to-peer call is often faster than a written appeal

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