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roscoeroscoe

(1,827 posts)
Wed Sep 3, 2025, 04:13 PM Sep 2025

Argh, Medicare!

First time I've run into this, have you? 12 days before my wife's procedure, they emailed that they needed more info for authorization. My wife doesn't read her email, it's all spam, right? So when I checked on things today and responded, the word is that you have to get prior authorization 10 days prior... so she has to reschedule.

This is so crappy! There is no question she needs the procedure, the idea prior auth. wasn't granted is a bad sign to me regarding the ahem current administration's enshittification of Medicare.

Sigh. I'm even thinking of going out of pocket.

6 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Argh, Medicare! (Original Post) roscoeroscoe Sep 2025 OP
To clarify, markodochartaigh Sep 2025 #1
'Real' Medicare roscoeroscoe Sep 2025 #6
Don't go out of pocket for this reason; not necessary, imo. elleng Sep 2025 #2
I have tradional medicare and never had this happen to me. Irish_Dem Sep 2025 #3
Two things NoRethugFriends Sep 2025 #4
Just had 2 recent procedures with traditional Medicare vapor2 Sep 2025 #5

markodochartaigh

(5,545 posts)
1. To clarify,
Wed Sep 3, 2025, 04:18 PM
Sep 2025

is this real Medicare, or "Medicare" Advantage?
Reauthorizations are supposed to be coming next year, in certain states, and for certain procedures.


https://www.axios.com/2025/06/27/medicare-add-prior-authorization-ai

elleng

(141,926 posts)
2. Don't go out of pocket for this reason; not necessary, imo.
Wed Sep 3, 2025, 04:19 PM
Sep 2025

Medicare WORKS, WELL (for me, and many others.)

Irish_Dem

(82,369 posts)
3. I have tradional medicare and never had this happen to me.
Wed Sep 3, 2025, 04:24 PM
Sep 2025

But next year Trump will start making medicare recipients get pre-authorizations in my state.

NoRethugFriends

(3,780 posts)
4. Two things
Wed Sep 3, 2025, 04:29 PM
Sep 2025

Doesn't happen with Medicare or Medigap
Your wife should read her email. Unsubscribe to stuff she doesn't want, and it will dwindle.

vapor2

(4,925 posts)
5. Just had 2 recent procedures with traditional Medicare
Wed Sep 3, 2025, 04:32 PM
Sep 2025

no pre authorizations at all. HOWEVER, went for an MRI and Steinberg Diagnostics no longer takes my 2ndary, Cigna.. FUCK 47

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