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?

• 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 ⁨18⁩ ⁨hours⁩ ago

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

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• Nemo@slrpnk.net ⁨22⁩ ⁨hours⁩ ago

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

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• Munkisquisher@lemmy.nz ⁨23⁩ ⁨hours⁩ ago

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

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