My Nonprofit Reviews

I had no issues last year when I got my Enbrel. This year is different. Myself and my doctor have been trying to work with them to provide all of the information needed. Last year they needed an appeal for the first prior authorization denial. My insurance company will not cover specialty medications at all. They will not allow an appeal, we can appeal all we want, but they will subsequently cancel it because the message was clear the first time. Amgen customer service did
a conference call last year to obtain that exact information and I was approved that day. However, this time, they have a “team” that works on it. They keep closing me out as denied without calling the insurance company. We have been requesting that they contact my insurance for that information for over a month. Now I’m out of medication. My doctor said enough is enough and switched me to Humira. I work customer service myself, they’re very nice. Something is just messed up there somewhere. It’s impossible.