Consumers should be aware of Medicare Advantage plans limiting therapy through prior authorization and step therapy requirements during open enrollment, according to a press release from AAO and ASCRS.
Prior authorization, the practice of requiring providers to gain approval from insurance agencies before the therapy will be covered, was recently instituted by Aetna for cataract surgery.
“Aetna’s new prior authorization policy for cataract surgery is a troubling example of a health plan restriction that has made it more difficult for Medicare Advantage enrollees to access