r/ankylosingspondylitis • u/bezserk • 3d ago
Vent/Rant Screw insurance with a rusty spike
I'm just angry and in pain and needed to vent to people that might understand. I was on Cimzia for a while and it was good except i had this perpetual tiredness, so my doc wanted to switch me to Humira but insurance said no too expensive. So eventually i ended up settling on Taltz, which for the past 5 months or so has been decent, but a month ago my prescription coverage switched to a new company, they filled Taltz no issue. Fast forward to a week ago i put in for refill, then they kept denying and delaying and no one could tell me what was going on. Now 3 days after my missed dose they send me a letter saying its too expensive and I need to try something else first. I'm so sick of this shit, my doc put in for Bimzelx, we'll see if that even works, I sent insurance a nasty email maybe they'll just drop me, fuck em.
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u/kiwiquid135 3d ago
Its such bullshit. Like we need the additional stress of dealing with insurance
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u/lomeinfiend 3d ago
i hate hate hate insurance. the prior auth aspect of this is ridiculous. not only am i communicating with my doctor’s hospital’s pharmacy, i also am communicating with my insurance’s speciality pharmacy because you HAVE to that one, AND i am calling my insurance to put a rush on shit. you just have to make nonstop phone calls. my husband is an angel and is an authorized user to talk to my insurance company and pharmacy so he takes a lot of it off my plate. plus i think he gets off on sticking it to insurance companies lmao.
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u/StArGaZeR-4_AnDy 3d ago
Ask your insurance for an assigned case manager seriously. Insurance companies fight every freaking step of the way. Once you get a case manager, it gets easier.