Comment on Can some please explain to me why it is that your health insurance can deny you medication, even if your doctor says you need it?

Nemo@slrpnk.net ⁨1⁩ ⁨day⁩ ago

• KuromiGirl04@lemmy.world ⁨1⁩ ⁨day⁩ ago

  Yeah, paying $200+ a week for a shot. In this economy?

  I don’t know anyone who has that kind of money

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  • ccunning@lemmy.world ⁨1⁩ ⁨day⁩ ago

    I just went through this battle myself. And my insurance even approved it, but I’m traveling overseas for two months and even though they tell me my benefit covers a “vacation override” they wouldn’t approve it.

    I asked the pharmacy how much it would cost to pay out of pocket. $1300 for 4 weeks, so $2600 to cover my trip.

    Luckily my Dr was able to give me “samples” to get me through my trip.

    Also, another thing that I learned in the past year. What your insurance will cover and how much they’ll cover changes depending on your history.

    Spend a three day weekend in the ER/ICU and suddenly I DO need Ozempic and they’re giving me thousands of dollars worth of CGMs for free.

    It’s all a cost/benefit analysis for them.

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  • BurgerBaron@piefed.social ⁨1⁩ ⁨day⁩ ago

    The intended goal of conservative voters is to ignore your plight and they’d like you to die off screen.

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  • Tollana1234567@lemmy.today ⁨20⁩ ⁨hours⁩ ago

    imagine trying to get approval for biologics, which can thousands a month.

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  • Nemo@slrpnk.net ⁨1⁩ ⁨day⁩ ago

    I’m not saying it’s right, I’m just saying it’s so.

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  • Munkisquisher@lemmy.nz ⁨1⁩ ⁨day⁩ ago

    Here in NZ it’s less than usd $300 a month full cost, but usually funded by the govt.

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• actionjbone@sh.itjust.works ⁨1⁩ ⁨day⁩ ago

  Not always. Sometimes, companies won’t sell it to you if your insurance has denied it. They may say it’s because they don’t believe you can afford it.

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