Virginia here too, the six month redo thing is wild to me since mine just quietly renewed last time. Did yours at least keep the same criteria each round or did they move the goalposts on you
[US] US coverage check-in for today - by state?
Iowa here and mine went through first try, which surprised me since I'd braced for the appeal fight everyone in PA seems to have. Curious whether yours is yearly or six months, the December scramble reply makes me nervous about what I haven't hit yet
Oklahoma here and mine switched me to Saxenda instead of covering the newer stuff, which I didn't expect but it's been approved without a fight so far.
Richmond here too, and yeah the six month cycle is real. Mine came up in March and the pharmacy had to resubmit twice before it cleared, so I just build a buffer week into my refills now
Illinois and mine went through on the first try, which honestly surprised me after all the horror stories I read before starting. My renewal is in March though so I'm not counting on it staying that easy.
Michigan here, and mine has been weirdly smooth so far, which honestly surprised me after all the horror stories. My renewal is coming up in a couple months though so I'm half expecting the other shoe to drop.
michigan, and mine was weirdly smooth, approval came through in about a week with no back and forth. Half expected a fight after everything I read on here
Mine went through in NC without a fight too, which surprised me since I'd braced for the worst. My sister in the same state got asked for a bunch of extra paperwork first, so it really does feel like luck of the draw.
Idaho here and mine has gone through clean each refill, which surprised me given how much I braced for a fight. Is your plan through an employer or the marketplace?
curious what plan type you're on, because my experience in WA was the opposite of easy. Took two appeals before mine went through.
Curious whether anyone here has actually had to switch plans mid-year over it. My renewal is coming up and I'm half expecting the formulary to look different.
tbh mine went through in CO without a peep, which surprised me since I'd braced for a fight after reading some of the denial stories here. Curious whether anyone's had coverage flip on them mid-year, that's the part that worries me more than the initial approval.
Curious what plan type you're on, because mine is self-funded through a small employer and that seems to be the whole ballgame for me.
Anyone else notice the denials cluster around certain states? My approval went through fine where I am, but I keep hearing the same handful of states come up over and over
anyone else notice the denials cluster around specific insurers rather than states? My neighbor and I are in the same zip code and got totally different answers.
Curious what state you're in since you didn't say. I'm in Ohio and mine sailed through first try, which honestly surprised me given how many appeals I read about on here.
I'm in IL and mine has been smooth the whole way, no appeals or anything, which surprised me after reading some of the horror stories here. My sister in FL wasn't so lucky and had to switch plans entirely.
fL here, and mine actually went through first try, so the east side isn't all rough
TX here and mine was approved on the first pass, which surprised me since I'd braced for a fight. My sister in GA needed an appeal though, so the southeast really does seem to be the rough side of the map.