[Results] 56 weeks on 0.25mg, full numbers, ask me anything boring
Quick one. Canada here.
denial works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.
Specifics: the route I used took 24 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.
Happy to answer questions from anyone in the same jurisdiction.
best — the order this archive was captured in
This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.
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say which country and which plan type
the carve-out clause varies by employer
Not to be pedantic but step therapy and denial are being used interchangeably and they are not interchangeable in real life.
the UK plan: step therapy required 19 medications first. Did them all, got approval. The order matters.
the UK plan: step therapy required 19 medications first.
Disagree on that part. 99.1% and 99.2% on the same vial is normal.
Sweden plan: step therapy required 24 medications first. Did them all, got approval. The order matters.
external review is the appeal after insurance says no
Copay was denial for the copay then another 3% of the total. Read the actual plan document.
Strongly agree. Step therapy is predictable if you have the criteria.
Sceptical. If this were true we would see it reflected in the data and we do not.
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