Thursday, February 6, 2020

Keystone First denial - I win

Keystone First health insurance company (Medicaid here in PA) denied Grace her prescription for her Precision Xtra blood ketone test strips. You can read all about the denial in Part 1 and Part 2. They scheduled a 2:15 pm First Level Grievance hearing, by phone, with me today.

They called at 1:30 PM.

'The doctor has reviewed the packet (yes, I sent a PACKET of information!) and has granted the prescription of blood ketone test strips. The prior authorization will be granted and be good for six months. After six months, your endocrinologist will have to submit another prior authorization for the next six months. We do not need to proceed to the First Level Grievance hearing at 2:15 PM.'

So far, Keystone First, it's Penny, 2 and Keystone First, 0.