I'm not in the industry, but I don't understand why insurance is like this. Is it really just about the bottom dollar?
I'm not sure what their objective is. I guess ultimately they want as much money as possible, hence why both pharmacies and patients get nickled and dimed so much. But I just don't get the reasoning why some insurances have to make things more of a hassle. Why does patient X NEED to have only a month's worth of their medicine they've been on for over a decade at a time? Why can't they get a 3 month supply? Why do they HAVE to have this inhaler (which they are allergic to), but not this one? Silly stuff like this.
My insurance company likes to surprise me by saying my 'prior authorization' expired, and that my doctor needs to send a new one...even though I've been taking the same meds for years.
Not exactly sure why, but a lot of insurance companies want those every calendar year for certain meds. ---
