Make your insurance call count.
Prepare a question list about coverage, authorization, pharmacies and the next step.
A provider’s insurance support and your insurer’s coverage decision are separate parts of the process. Prepare the questions, then record the written answer and who owns the next step.
Your insurance call plan
Your question list will appear here as you type.
Get the answer you can return to.
Prior authorization is an approval that a health plan may require before covering a prescription. Ask for the current formulary, any authorization criteria, the pharmacy network and a written explanation of your costs. Keep the reference number and next deadline with your notes.
This creates questions; it cannot determine coverage, eligibility, reimbursement or medical suitability. Exception and appeal procedures depend on the plan. HealthCare.gov: prior authorization · HealthCare.gov: prescription coverage
Read the care-cost guide · Put a confirmed quote on a calendar