Well, anyone who’s ever been prescribed a stimulant medication probably knows how much of a hassle it can be to get it filled, but boy was I unprepared for this all-American mess.
I’ve been waiting a week for my insurance to authorize coverage on my newly prescribed Ritalin, so today, I finally decided they had enough time to get it together and gave them a call. Typically, this is not a covered medication, but a doctor can call and have it approved. Unsurprisingly I ran into trouble right away. My insurance does not even have a request on file, meaning one of two things: One, the doctor has not yet requested the medication be covered, and two, insurance denied coverage immediately and they notified neither myself nor my pharmacy.
I’m waiting on a call from my doctor to ask them whether they’ve made their appeal yet, but I suspect they have and my insurance just denied them. In that case, I’m not really sure what to ask or say to my insurance provider in order to increase the chances of it being covered. Could anyone with experience tackling this beast of a medical system give me some pointers on how to talk to my insurance about this issue? I’m definitely not paying $300 a month out of pocket for the stuff. Why is adhd treatment so adhd unfriendly?