HuffPost Healthy Living, March 16, 2016
by Riva Greenberg, Diabetes advocate, author, speaker and coach
Who made health insurers God? My friend and I said the same thing the other day, “Insurance companies are running health care. And it’s scary.”
Increasingly health insurance companies are deciding what medicine we get regardless of what our doctors prescribe.
Last year my endocrinologist wrote a script for me for a new basal insulin, Toujeo. After a decade on Lantus, which daily petered out after only 19 hours, Toujeo’s profile showed 24-36 hour coverage. Using Toujeo would mean I had insulin in my body, as necessary, 24/7.
But my health insurance company said “NO.” To possibly override their refusal I had to jump through several hoops, including first use the two basal insulins on their formulary and prove they didn’t work. Then have my endocrinologist get on her knees and beg they honor our request for Toujeo by submitting a second prior authorization form.
For six months during this process I got Toujeo on the down-low from a diabetes educator friend. And my blood sugars, and my life, improved.