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Insurance denied wegovy

23 Posts
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groveamber
(@groveamber)
Eminent Member
Joined: 3 months ago
Posts: 19
Topic starter   [#4639]

Insurance question, and the plan document contradicts what the counter told me.

One page of history, printed and handed over at the start. They read faster than you can talk.

The formulary changes on the first of January and the first you hear of it is at the counter.

Function beats pain scores in these conversations. “I cannot sit for twenty minutes” lands.

Has the handling changed recently for anyone else?



   
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The-Alchimist
(@the-alchimist)
Illustrious Member
Joined: 1 year ago
Posts: 7066
 

Following this because I am in the same place and have no idea what to ask at the appointment. Same for me with a prior authorisation, unfortunately.



   
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Jaders
(@jaders)
Noble Member
Joined: 2 years ago
Posts: 1236
 

Enteric coatings should not be crushed. The pellets are the delivery mechanism.



   
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lyme8425
(@lyme8425)
New Member
Joined: 1 year ago
Posts: 3
 

Changing prescriber does not reset anything, and people discover that the hard way.



   
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loftgorse
(@loftgorse)
Active Member
Joined: 4 years ago
Posts: 11
 

Is it normal to feel worse before better? Nobody told me that.



   
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4legsgood
(@4legsgood)
Noble Member
Joined: 1 year ago
Posts: 1995
 

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.



   
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loch_spring
(@loch_spring)
New Member
Joined: 2 years ago
Posts: 2
 

Following this because I am in the same place and have no idea what to ask at the appointment. Currently on a prior authorisation myself.



   
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pine853
(@pine853)
Active Member
Joined: 5 years ago
Posts: 5
 

Worth asking what specifically was measured. Pain scores move with mood and function does not.



   
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quiet_harp
(@quiet_harp)
Active Member
Joined: 5 years ago
Posts: 6
 

Worth asking what specifically was measured. Pain scores move with mood and function does not. How long have you been on a prior authorisation?



   
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lunarwing43
(@lunarwing43)
Active Member
Joined: 5 years ago
Posts: 8
 

Sorry for the basic question, but how do you actually start one of these diaries?



   
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woldlynx3
(@woldlynx3)
Active Member
Joined: 4 years ago
Posts: 8
 

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.



   
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wren_jewel
(@wren_jewel)
New Member
Joined: 4 weeks ago
Posts: 4
 

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers. How long have you been on a prior authorisation?



   
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LymeLoft
(@lymeloft)
New Member
Joined: 1 year ago
Posts: 2
 

Is it normal to feel worse before better? Nobody told me that. Currently on a prior authorisation myself.



   
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seadawn
(@seadawn)
New Member
Joined: 9 months ago
Posts: 4
 

Function over score. Same for me with a prior authorisation, unfortunately.



   
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helmindigo
(@helmindigo)
New Member
Joined: 1 week ago
Posts: 3
 

Is it normal to feel worse before better? Nobody told me that. How long have you been on a prior authorisation?



   
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