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| To receive certain medical treatments or tests, especially costly ones, your insurer may require prior authorization. When this occurs, your doctor submits a pre-authorization request to your insurance company, explaining why you need the treatment. The insurer then decides if it agrees that the care is medically necessary and if it will pay for it. iIn a statement to NPR, the insurer trade group AHIP, formerly known as America’s Health Insurance Plans, said that prior authorizations are a safeguard that helps ensure patients receive safe, evidence-based care and keeps coverage affordable. This is what you should know about getting prior authorization requests approved in a timely manner:
🧑⚕️ Reach out to your insurance company or pharmacy benefit manager to find out how long your prior authorization lasts.
🧑⚕️ While waiting for your prior authorization, inform your doctor about your medication supply and any health decline. You can also ask them to request an expedited review.
🧑⚕️ Ask your doctor about alternative treatments. Health plans have different formularies, so switching medicines may be easier than fighting for coverage approval. |
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Check out what NPR is watching, reading and listening to this weekend:
🍿 Movies: Hasan Hadi's debut feature film, The President's Cake, follows 9-year-old Lamia, who is tasked with baking a birthday cake for Iraqi dictator Saddam Hussein. The movie highlights how life under Hussein destroyed children's innocence.
📺 TV: The reality show The Traitors has become weekly appointment television for the Pop Culture Happy Hour hosts. They say this season brings rich drama with alliances, secrets, treachery, and murder.
📚 Books: Critic Maureen Corrigan says that Allegra Goodman's new novel, This Is Not About Us, will make readers see aspects of themselves and their families in its pages.
🎵 Music: From Lana Del Rey’s "White Feather Hawk Tail Deer Hunter" to U2’s "American Obituary," here are NPR Music’s picks for the best new songs of the week.
❓Quiz: This week’s newsletters really set me up for success on this test. A ”competent” score of eight of 10 this week. Will you do just as well? Give it a try. |
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The news doesn’t stop, and neither will we.We’re here 24 hours a day, seven days a week, delivering the trusted news that millions of people rely upon.
You can help ensure that NPR remains available to everyone, regardless of their ability to pay, by donating now.
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New York City Mayor's Office/X |
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| | Mayor Zohran Mamdani yesterday presented Trump with a mock newspaper with the headline “Trump to City: Let’s Build” during a meeting to discuss housing in New York City. (via Gothamist) |
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| | U.S. mortgage rates have fallen below 6% for the first time since September 2022. |
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| | When Olivia Joffrey was in 6th grade, her teacher organized a Father's Day softball game for students and their dads. Because Joffrey's father had an early, rare case of both Alzheimer's and Parkinson's diseases, he couldn't attend. Her mom asked her 20-something coworker, Bob, to go in his place. When her unsung hero followed through with the generous act, he helped her feel accepted. |
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Stream your local NPR station. |
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| Visit NPR.org to find your local station stream. |
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