Not Romantically Necessary: Prior Auth for Valentine's Dinner, Denied.

She's my wife, but that doesn't seem to matter to UHC.

Program Number: 00006192015

Program Requested: Romantic Dinner w/ Identified Partner
Romance & Tenderness (R&T) Committee

Denial Date Effective Date: February 14th, 2023

1. Background:

UnitedHealthcare Romantic Dinner Scheduling Programs

2022 P 2119-6
Prior Authorization/Romantic Necessity - Lack of Evidence of Evidence-Based Connection

Prior Dates, Dinner:
2/2017, 3/2018, 3/2019, 4/2020, 6/2021, 6/2022
9/1/2022;
Drinks Only: 9/1/2022

Valentine’s Day (Generic: romanceozone) date requested with:

Carlene MacMillan, M.D.

This prior authorization program is intended to encourage the use of lower-cost alternatives. This program requires a member to try two alternative bio-similar romantic partners – Claire Danes or Kristen Dunst— before providing coverage for Carlene MacMillan.

Research demonstrates Claire Danes and Kristen Dunst are appropriate bio-similars for Carlene MacMillan.

2. Coverage Criteria:

A. Dinner on February 14th, 2023 with Carlene MacMillan will be approved based on ALL of the followin…