Woozle HypertwinThe ultmate breakthrough in insurance technology will be, of course, when the algorithms can reliably predict who will experience a covered incident within the term of coverage, and only issue policies to those who won't. #corporateInnovation #insuranceIsAScam
gRegor Morrill
Dunkle McPhee (Metalboy) ☠️Fun. A leaking toilet (into the crawl space) and a homeowners insurance company that says it’s not covered. Literally the first use of homeowners insurance in 15 years and nothing. What a waste of money for almost 2 decades. #insuranceIsAScam
bedastInsurance is demanding prior auth for Trulicity. Kinda shows this is going through an automated system since a doctor reviewing this would see it’s justified.
For me, it’s just more delays getting access to a drug I actually need.
We are still not even to the part where we learn if they can even send the drug.
#Diabetes #T2D #Trulicity #GLP1RA #PriorAuthorization #InsuranceIsAScam #Shortage
Anomnomnomaly
GTMLosAngelesIs this ChatGPT:
“This request was denied because you did not meet the following clinical requirements.
“The requested medication and/or diagnosis are not a covered benefit and excluded from coverage in accordance with the terms and conditions of your plan benefit. Therefore, the request has been administratively denied.
“The requested medication and/or diagnosis are not a covered benefit and are excluded from coverage in accordance with the terms and conditions of your plan benefit. Therefore, this request has been administratively denied.
“The reason(s) Optum Rx did not approve this medication can be found above. This denial is based on our Daytrana drug coverage policy, in addition to any supplementary information you or your prescriber may have submitted.”
This is an exact quote from a letter we received today, including the almost exactly repeated middle paragraphs. Nothing within the passage has been omitted.
There really is no there there.
💝❤️ abejaclaustro ☃️❄️@themorrancave @ProPublica in one appeal, after asking “why do you even bother offering an appeals process if everything is always going to end in rejection??” the unitedhealth agent told me, “the appeals process is policy, probably some law, and at least you felt like you were doing something, didn’t you?” also, “it gave you something to do.” it was one of the most infuriating exchanges i’ve had with anyone in our #medical process
Jae Moore (they/them/theirs)