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The Circle Game
With all that’s going on in the world — wars, partisanship, a liar as the key witness in a trial with a lying ex- and maybe future president — this is not the biggest issue.
But it’s on the list of Top Five reasons to go, “WTF.”
About a month ago, as the weather warmed, I started playing golf again. I strained a muscle in my lower back (from my powerful swing being a little too powerful for so early in the season) and I wound up a couple weeks later at urgent care to get checked.
The professional diagnosis: I strained a muscle in my lower back.
Treatment: a muscle relaxer and an anti-inflammatory.
My pharmacy informed me my prescription was delayed because my insurer informed them the muscle relaxer requires “prior authorization.” (This notice came minutes after the prescription was received).
I call my insurer — CIGNA — to find out what that means and I first go through a long recorded introduction (in English and in Spanish) that lists categories I can press, none of which seem to include my question.
I finally get a human being — or at least a call center voice. She nicely, calmly explains that I need prior authorization, which I knew.
Finding out what prior authorization means (beyond what I thought, which was my medical professional’s prescription) was next to impossible without listening to the patient young woman explain about Centers for Medicare and Medicaid Services (CMS) and other things…