@RNSuperHero And this is after a physician has ordered something that they *know* might not be covered and we have already factored that into the equation. We know that a plan means nothing if it cannot be implemented. It’s exhausting for everyone.

@RNSuperHero It really is wild. And it’s like a cardiologist having to explain himself to a podiatrist.

@RNSuperHero Every prior authorization or peer to peer makes me crazy. The doctor recommends a certain medication, radiation, a scan and nope, insurance denies and makes you prove the necessity.

@RNSuperHero NO BECAUSE LIKE?!?!? They’re like actually we don’t cover that and you’re like okay what bioidentical med do you cover then the patient needs it and they’re like lol idk

@RNSuperHero I’ve worked in insurance for 5 years (& am in nursing school) & I remember insurance once denied this guys ambulance ride bc “a headache” wasn’t an emergency. Like it could’ve been a stroke, an aneurysm, or so many other things if it was bad enough he felt the need to call 911???

@RNSuperHero It’s wild. Deeply unjust, ridiculous and a major major defect (one of many) of the broken healthcare system in this country.

@RNSuperHero They do all the time. Pisses me off. 😳

@RNSuperHero Insurance is like, “well, we see that you’re paying us so much every year, you can probably afford to pay for this out of pocket.”

@RNSuperHero Infuriating.

@RNSuperHero I was just told that Friday by my primary's PA. There's a medication that will work better than the current one but insurance rarely covers it, even with those worse than me.

@RNSuperHero But a vet can recommend horse medicine for human Covid and they’re like “hey sure why not!”

@RNSuperHero With some drugs it doesn't even make financial sense, like inhalers. LAMA/LABA has less coverage than LAMA/LABA/ICS.

@RNSuperHero “But we’re not practicing medicine”

@RNSuperHero Post op outpatient. Family was supposed to pick up his pain med, because his pharmacy closed early. They can’t get it, because they can’t afford to pay out of pocket, and his insurance won’t cover it. Confirmed it wasn’t covered ‘because he’s already on a benzo.’ 😳

@RNSuperHero My friend and I who work in oncology and pediatric rheumatology respectively had a very intense discussion about this last night. It’s barbaric.

@RNSuperHero Yeah, that pisses me the fuck off. I really want my flector/licart patches.

@RNSuperHero We can than George Bush for that. “Medicare Advantage” is neither Medicare nor an advantage.

@RNSuperHero Yep, it's a crazy, mixed-up world.

@RNSuperHero Insurance prior authorization are Sarah Palin’s “Death Panels.”

@RNSuperHero My best friend has Multiple Myloma…the state switched her from Disabled to retired….benefits change and not they won’t pay for her med. So now she’s trytryingto find one that insurance will approve….so frustrating