The Itch: Allergies, Asthma, Eczema & Immunology

#88 - How to Get Your Meds Approved: Appealing Insurance Denial


Listen Later

Has your medication been denied? Now what?

Before patients can access medications—whether it’s inhalers or biologic therapies—they often have to jump through many hoops to get insurance approval. Navigating the world of health insurance approvals for medication can be overwhelming for both patients and providers. In this episode, we break down what to expect, what you can do, and how to advocate for yourself throughout the process.

Lacey Varnon from the National Association of Medication Access and Patient Advocacy (NAMAPA) joins Dr. G and Kortney to dive into the complex world of health insurance. Lacey shares insights into common reasons for medication denials, how to appeal them, and how patients and healthcare providers can work together for better outcomes.

What We Cover in Our Episode About Health Insurance Approvals for Medications:
  • Health Insurance Basics: Understanding essential terms like payer and formulary.
  • Navigating Insurance Approvals: Tips for a smoother process, understanding prior authorization, and common reasons for medication denials.
  • Teamwork Between Patients and Providers: How patients and doctors can collaborate to improve chances of approval and streamline the documentation process.
  • The Appeals Process: A step-by-step guide to appealing denials and ensuring access to necessary treatments.
  • Support Programs & Resources: Insights into sample programs, bridge programs, and tools to help patients through the approval process.
  • More resources about health insurance denials and appeals: 

    • Health Insurance Coverage in the United States
  • Why was my prescription denied by insurance?
  • Health Insurance for Asthma and Allergies
  • Choosing the Right Health Insurance Plan
  • Navigating Insurance Denials and Filing Appeals
  • NAMAPA: National Association for Medication Access and Patient Advocacy
  • Medication Access Network
  • This episode is made in collaboration with the National Association of Medication Access and Patient Advocacy (NAMAPA). We thank Amgen for sponsoring this episode.

     

    ...more
    View all episodesView all episodes
    Download on the App Store

    The Itch: Allergies, Asthma, Eczema & ImmunologyBy The Itch: Allergies, Asthma & Immunology

    • 4.3
    • 4.3
    • 4.3
    • 4.3
    • 4.3

    4.3

    92 ratings


    More shows like The Itch: Allergies, Asthma, Eczema & Immunology

    View all
    Stuff You Should Know by iHeartPodcasts

    Stuff You Should Know

    78,246 Listeners

    The Human Upgrade: Biohacking for Longevity & Performance by Dave Asprey

    The Human Upgrade: Biohacking for Longevity & Performance

    7,215 Listeners

    The Skinny Confidential Him And Her Show by Lauryn Bosstick and Michael Bosstick / Dear Media

    The Skinny Confidential Him And Her Show

    14,947 Listeners

    Frankly Speaking About Family Medicine by Pri-Med

    Frankly Speaking About Family Medicine

    262 Listeners

    The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

    The Curbsiders Internal Medicine Podcast

    3,333 Listeners

    Calm Parenting Podcast by Kirk Martin

    Calm Parenting Podcast

    1,449 Listeners

    Dhru Purohit Show by Dhru Purohit

    Dhru Purohit Show

    3,525 Listeners

    The Dr. Hyman Show by Dr. Mark Hyman

    The Dr. Hyman Show

    9,233 Listeners

    AAAAI Podcast: Conversations from the World of Allergy by The American Academy of Allergy, Asthma & Immunology (AAAAI)

    AAAAI Podcast: Conversations from the World of Allergy

    51 Listeners

    The Bible Recap by Tara-Leigh Cobble

    The Bible Recap

    35,727 Listeners

    AllergyTalk by allergytalk

    AllergyTalk

    51 Listeners

    Bendy Bodies with Dr. Linda Bluestein by Dr. Linda Bluestein

    Bendy Bodies with Dr. Linda Bluestein

    221 Listeners

    Huberman Lab by Scicomm Media

    Huberman Lab

    29,210 Listeners

    Good Inside with Dr. Becky by Dr. Becky Kennedy

    Good Inside with Dr. Becky

    4,535 Listeners

    The Mel Robbins Podcast by Mel Robbins

    The Mel Robbins Podcast

    20,335 Listeners