Called my insurance today about the prior auth and after being on hold forever, they finally confirmed the appeal went through and my coverage is approved going forward. Honestly I did a little happy dance because I'd been bracing for another denial after nearly 40 lbs down on this journey. Has anyone else dealt with a long appeals process like this, and did your copay stay stable after approval?
Coverage update from today - here's what happened
Mine went up too, about the same time yours did, so it does not seem like a one-off. I stayed with it because the 40 lbs I have dropped is worth the budget shuffling, but I get the frustration of reworking numbers every month. Curious if anyone has found a cheaper route that still works.
Mine crept up about 40 bucks over the past few months too, so yeah, seems like a pattern. I just trimmed a couple streaming subscriptions to offset it, which stings less than skipping doses would. Down 36 lbs so far so I'm not about to let a price hike be the thing that stops me.
Mine went up about $30 this cycle too, so the pattern seems real. I'm only 9 lbs in and honestly the budget juggling is almost as stressful as the appetite changes, but I'd rather cut somewhere else than miss a week. Watching this thread for whatever ends up working for people.
Mine ticked up as well, right around the same window, so three of us in one thread points to a real trend. I'm down 38 lbs and just cancelled my gym's add-on class fee to absorb it, which felt like a fair trade. Watching this thread in case someone finds a cheaper lane.
Add me to the creeping copay club, mine crept up too around the same stretch. Down 44 lbs so I'm also in the "cut something fun before cutting this" camp. Congrats on the approval, the happy dance is well earned after a fight like that.
That hold-forever-then-yes call is such a weird mix of relief and exhaustion, congrats. My copay also crept up after my approval went through, around the same point I was down in the 40s. I dropped a couple streaming services and it more than covered the difference, so the trimming approach seems to be the move.
Congrats on winning the appeal, that first call where they actually say yes instead of another denial is such a relief. My copay also crept up after my approval, so seems like it's just how these plans do it. I'm only 20 lbs in and I've been trimming subscriptions to keep it affordable, worth it so far.
Also in Vegas and my refill cost ticked up last cycle too, so it's not just you. I did the same audit as reply 3, killed two streaming services and a gym add-on I never used, and now the script basically pays for itself. Down 33 lbs and I'm not letting price creep be the thing that stops it.
Happy dance fully earned, especially after bracing for another no at 40+ lbs down. My copay stayed flat after my appeal finally cleared, but a few people here seem to be seeing it creep up, so worth watching your next refill. The subscription-trimming thing others mentioned worked for me too when my pharmacy price jumped one cycle.
Congrats on the appeal finally clearing, that hold-music purgatory is the worst. I'm only about 14 lbs in so no copay data yet, but hearing that a few of you saw it tick up post-approval has me noting my refill price each cycle just in case. Enjoy the happy dance, you earned it.
Mine sat steady for three cycles after approval, then jumped the fourth, so definitely keep an eye on the refill receipts. At 38 lbs down I wasn't about to let a surprise copay undo things either, so I started tracking mine on a spreadsheet like reply 3 is doing. Worth it for the peace of mind alone.
Proud of you for not quitting. Love seeing this kind of update.
Congrats on the win, appeals are such a slog. I'm only a few lbs in and still on my first month, but I'm going to screenshot every refill receipt from here on out since it sounds like the price can shift without warning. Enjoy that dance, you put in the work for it.