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Single comment threadYou are looking at one branch of Germany: private plan, and what it actually costs here — 16 comments in the full submission. View in context.
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c/glp1canada·submitted 10 months ago by u/pavel_kravchenko

Germany: private plan, and what it actually costs here

Discussionbranch of 12 comments

Thinking out loud about this: Germany: private plan, and what it actually costs here. Cash pricing, which people skip because they assume coverage is the only route. Prices at the counter vary between pharmacies, sometimes substantially, in the same city. Members here have found spreads worth a real amount per month…

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12 comments, started 10 months ago
u/controversial_only21 points·10 months ago

Confused a rejected claim with a denied authorization for a month and pursued entirely the wrong process.

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u/formulary_fighterappeals-36 points·10 months ago

That is an employer plan process, and the provincial route is different in both form and timeline.

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u/solene_eriksen1 point·10 months ago

ask the pharmacy what the cash price is, it varies

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u/santiago_szabo7 points·10 months ago

say the province or the answers will be wrong

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u/pavel_kravchenkoOP4 points·10 months ago

Have you seen the special authorization criteria for your province?

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u/pavel_kravchenkoOP2 points·10 months ago

Is there a quantity limit involved rather than a coverage refusal?

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u/erez_baptista3 points·10 months ago

Was this a denied authorization or a rejected claim?

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u/greta_perrin13 points·10 months ago

Kept every form and reference number. When they had no record of a submission, I did.

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u/neha_erdogan7 points·10 months ago

Agreed on keeping every form and date. When something goes wrong the paper trail is the whole case.

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[deleted]3 points·10 months ago

[deleted]

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u/pavel_kravchenkoOP9 points·10 months ago

private plans and provincial plans are different fights entirely

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u/formulary_fighterMOD15 points·10 months ago

Left up. It distinguishes a rejected claim from a denied authorization, which most posts here do not.

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Canadian access: provincial formulary differences, private plan coverage, the special-authorisation process, cross-border pricing arbitrage and why the Ontario answer is not the Alberta answer.

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