Have you
ever pushed back
after your health plan
denies your claim?
Likely the answer is no
because the vast
majority of us
don't understand the system
well enough to do so.
I'm Marisa Wojcik
"Here & Now" series producer
and multimedia journalist.
Our five-part series
Rx Uncovered, shows the ways
patients can get stuck
not being able
to get their prescriptions
or be able to pay for them.
Often these medications
are to cure cancer
prevent death
or manage debilitating
chronic conditions.
But the maze of terms
code, tiers
prior authorizations
and stipulations
in our health plans
make access
anything but easy.
That's where patient
advocates like Nilsa come in.
They help people
navigate this complex system
that even experts
struggle to discern
and they make sure people
don't have to choose
between their medication
or their savings.
Can patients
do these themselves?
The answer is probably not
because the statistics
have shown
that very few patients
will take it to
the next level.
It's too cumbersome.
If you look at
denial letters
the steps are in there
and it's even cumbersome
for me.
In Rx Uncovered
we look at the underlying
causes of
expensive prescriptions
and what you can look for
to protect yourself.
Find more at
pbswisconsin.org.