[Discussion] the province advice in here is 3 years out of date
the province advice in here is 3 years out of date. It is the sort of thing everyone half-believes and nobody writes down. Hard numbers: 3 years. Anything softer than that is flagged as an impression. A rejected claim at the pharmacy counter and a denied authorization are different events with different remedies. The…
Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.
Not convinced. A rejected claim at the counter is not a denied authorization and the next step differs.
Agreed on keeping every form and date. When something goes wrong the paper trail is the whole case.
Have you seen the special authorization criteria for your province?
Provincial plan, employer plan, or paying cash?
Read the special authorization criteria and wrote the application against them line by line. Approved first time after a previous refusal.
Compared cash prices across four pharmacies before pursuing coverage and the spread was larger than I expected.