Thứ Ba, 14 tháng 1, 2025

Prior authorization needed after changing insurance plan

Hi, so I’ve gotten myself into a situation and just needed advice on the quickest way to solve/get through this. For context I have tricare prime, I’m a T1D and have been seeing a specialist for awhile. I recently switched from tricare select to prime bc the additional cost for almost the same plan did not benefit me. I also just switched over to a new PCM bc my other one was out of network. I got a call from my specialist saying I needed prior authorization due to the switch in plans, even tho I’m still apart of tricare and I’ve been a patient with them for over a year. I understand having to do this but the issue comes in with getting an appointment with my PCM bc they go out a couple months and I need medication before then. The specialist had me call my PCM and ask if they’d just send over the authorization without seeing me, which I knew was a long shot. So what would be the best course of action to get this done asap bc I have a limited supply of medication. I understand these are the hoops I have to jump I just need to get through them quickly bc I need to medication to live.



https://ift.tt/Rdji4HJ Submitted January 14, 2025 at 03:13AM by Redvelvet_swissroll https://ift.tt/T0qIazM

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