Prior Authorization
Prior authorization, also known as preauthorization is a process by which a medical provider must ask permission, or authorization, from the insurance company before performing a medical procedure or providing a medication. Prior authorization is not a promise that a health insurer will cover the cost.
AiArthritis Position Statement On Prior Authorization
Position Statement. AiArthritis opposes the use of prior authorization by insurers and pharmacy benefit managers to delay or deny treatments chosen by patients and their doctors—including repeated reauthorizations for continued use of effective therapies. These unnecessary delays often lead to irreversible disease progression. AiArthritis supports legislation to limit these practices and ensure timely access to care.
Patient Written Glossary of Terms
Frequently, everyday terms when navigating a diagnosis of an AiArthritis Disease—such as "payer"—can lead to confusion. Therefore, we have developed a glossary to assist!
Discover Patient Journeys With Prior Authorization In Our Video Library!
The Patient-Instructed Video Library
The Patient-Instructed Video Library was created to help our community gain a deeper understanding of critical issues that affect access to health care. The goals of this initiative are to educate, inspire fellow patients to share their experiences, and empower our community to take action in addressing access-related challenges.
What is Prior Authorization? (Brittany's Perspective)
Brittany, a person living with Psoriatic Arthritis and AiArthritis Volunteer, explains what Prior Authorization is and how it can impact patients by causing delays in treatment and adding administrative burdens.
Prior Authorization - Why Should Patients Care? (Brittany's Perspective)
Brittany educates patients on why Prior Authorization matters and how it can lead to delays in getting the treatments they need. With unpredictable approval times, this process can cause serious health impacts, from disease progression to irreversible damage.
Prior Authorization Patient Story: Brittany's Perspective
Brittany shares her personal story about the frustrating impact of Prior Authorization delays. After a 23-day delay in receiving her medication, her body rejected the treatment, leading to long-term challenges in finding a new solution.
Prior Authorization Patient Story: Abby's Perspective
Abby, a person living with Rheumatoid Arthritis and Spondyloarthritis, shares her personal experience with the delays caused by Prior Authorization. A routine infusion was pushed back due to insurance requirements, leading to a flare-up and the need for more medication.
Learn More By Exploring Our Video Library
Did you know that access to healthcare and treatments is frequently tied to policies like government healthcare systems and insurance companies? Recognizing these influences and sharing YOUR experiences with legislators to illustrate the need for policy change is crucial!
Share Your Prior Authorization Experience
Would you share your experience with us? We’d like to hear how you navigated challenges in obtaining healthcare or treatments. What obstacles did you face, and how have they shaped your journey? Your insights could be invaluable to others in similar situations.
Class Is In Session! Prior Authorization
About The Classroom: Lead instructors, including our CEO Tiffany, who has non-radiographic axial spondyloarthritis (nr-axSpA) and is a former award-winning college instructor, will collaborate with Class Discussion Leaders living with our diseases to host engaging webinars and AiArthritis Voices 360 Talk Show segments.
Prior Authorization: Coming Soon
How To Get More Involved!
Ready to deepen your involvement? Share experiences to support our fight for change with AiArthritis—join us for co-writing letters, virtual Field Trips, or become an inaugural AiAdvocate in our policy leadership program!
Join the Knowledge = Empowerment Program
A virtual, patient-led classroom approach designed to help patients understand legislative issues affecting treatment access and connect them with opportunities to advocate for change.
#WTHellth?!
Share your frustrations with the healthcare system using #WTHellth. Prefer privacy? Submit a written rant anonymously through AiArthritis’ RANT! program, selecting the #WTHellth category.
