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Denied treatment by Medicare anyone?

Chronic Pain | Last Active: Jun 29 12:39pm | Replies (38)

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Profile picture for kdks99 @kdks99

I am very concerned about this. I have sent this email to my Representatives. Hopefully other people will speak up before it's everywhere.

I am writing to express my concern about the expansion of prior authorization requirements within Original Medicare.
While reducing waste is an important goal, prior authorization often creates delays in treatment, adds administrative burdens to already overextended medical practices, and inserts additional barriers between patients and their physicians. Decisions that should be made in the exam room increasingly become subject to paperwork, reviews, and waiting periods.
For older adults and those living with chronic pain or disabling conditions, delays are not merely inconvenient. They can prolong suffering, postpone recovery, and increase anxiety at times when patients are already vulnerable.
Programs such as these also contribute to the growing depersonalization of medical care. Patients deserve a healthcare system that trusts qualified physicians to make appropriate treatment decisions and allows them to focus on care rather than bureaucracy.
I urge you to carefully examine the impact of expanding prior authorization requirements and to prioritize timely, patient-centered care.
Thank you for your consideration.

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Replies to "I am very concerned about this. I have sent this email to my Representatives. Hopefully other..."

@kdks99
This is interesting. I’ve been receiving Xolair injections since 2018, every 28 days. In my Medicare summary it shows they won’t cover it because it is being done more often than is accepted. ???? I’m hoping the allergist’s billing department used the wrong code. I suppose I could call the allergist billing and/or Medicare sooner than later, since there is a time line for appeals.