Frequently Asked Questions

No prior authorization required. Answered on the first try.

Orders & Shipping

How long until my order ships?

Every item is made to order. Production typically takes 2-5 business days before your package ships.

How long does shipping take after that?

Standard US delivery typically takes 5-10 business days after production. Carrier delays, holidays, weather, and remote destinations can add time.

Do you ship internationally?

Not yet — US only for now. International is on the list.

Is shipping free?

US orders over $60 ship free. Below that, available shipping rates are shown at checkout.

Can I track my order?

Yes. Tracking hits your email when it ships, and usually starts updating within 24-48 hours. No hold music involved.

Can I change or cancel my order?

Email hello@priorauthorizethis.com as soon as possible. If production has not started, we will try to help. Once a made-to-order item enters production, changes or cancellations may not be possible.

Returns & Replacements

What's your return policy?

Because each item is made to order, we do not accept returns or exchanges for change of mind, incorrect size selection, or incorrect color selection. Please review the product details and size information before ordering.

What if my item arrives damaged, defective, misprinted, or wrong?

Email hello@priorauthorizethis.com within 14 days of delivery with your order number and clear photos. If the item is defective, damaged in transit, misprinted, or the wrong item was sent, we'll review it for a replacement at no cost.

What if I ordered the wrong size?

Because products are made to order, we cannot exchange a correctly produced item for a different size. Check the size guide and garment-specific information before ordering.

Products & Printing

What kind of shirts do you use?

T-shirts are the Bella+Canvas 3001, crewneck sweatshirts are the Gildan 18000, and hoodies are the Gildan 18500, unless a product page says otherwise. Blanks and available colors can change, so the product page is always the final reference for the item you're actually buying.

How are they printed?

Printing method can vary by product and fulfillment option. Follow the care instructions on the product page or garment label, and wash printed apparel inside out in cold water with low heat or air drying.

Will the print look exactly like the photo?

Close, but screens lie a little. Dye lots, print placement, and monitor settings all shift things slightly. Small variation is normal production, not a defect.

Sizing

How do your shirts fit?

Everything is unisex. The tee is a retail fit and runs closer to the body — size up if you want it relaxed. The crewneck and hoodie are cut roomier, and most people take their usual size. They also start at S rather than XS. Full flat measurements for all three are on the size guide.

The Brand

Who's behind this?

A small independent brand with an unreasonable amount of familiarity with insurance hold music. We keep the focus on the issue instead of on personalities — nobody needs our faces to get the point. If you need us, a real person is at hello@priorauthorizethis.com.

Are you affiliated with an insurer, healthcare provider, government agency, or the news organizations you link?

No, no, no, and definitely no. We're independent and self-funded. Links to the AMA, KFF, CMS, ProPublica, NBC, KQED and others are citations, not sponsorships. They don't know we exist.

Is this a joke?

The joke is on the shirt. What it's about isn't funny at all. In one year, marketplace insurers denied around 85 million in-network claims — 19% of everything submitted in network — and fewer than 1% were appealed. Roughly 100 million people in America carry health care debt. Senate staff calling in-network mental health providers could get an appointment 18% of the time. Every one of those is linked in The Record. KFF receipt · Debt receipt · Ghost network receipt

Isn't it in bad taste to make jokes about people being sick?

It would be, so we don't. The illness is never the joke. What the system does in response to illness is the joke. If you're living this, you're who we write for — not who we write about. There's a difference between laughing at someone and handing them something to say out loud, and we try very hard to stay on the right side of it.

I thought this was only about prior authorization.

The name is the entry point, not the boundary. Prior auth is one tool. So are mass claim denials, ghost networks, step therapy, coverage cutoffs during rehab, surprise bills, and medical debt that follows you back into the exam room. The subject of this brand is what all of that does to a person who is already sick.

Does your content give medical or legal advice?

No. We sell shirts and make fun of a system. For anything involving your actual care, coverage, appeals, or legal rights, use your plan documents and a qualified professional. If you're mid-fight with an insurer right now, a patient advocate or your state insurance department will be far more useful than we are.

How can I share my story?

Email hello@priorauthorizethis.com. Please do not send member IDs, claim numbers, medical-record numbers, dates of birth, or other private medical identifiers. We will ask separately before publishing any story.