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c/insurancefights·submitted 6 months ago by u/appeal_letter_al

reading external review threads from 2024 and half of it aged badly

Questionbranch of 8 comments

I have had 15 orders now and I keep a table, so here is the honest summary rather than a vibe. Material has been consistent. Communication has not. Shipping has varied by about 36 days on nominally the same lane, which matters more in summer than in February. The independent number came back 97.9% against a claimed…

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8 comments, started 6 months ago
u/jarno_adeyemi142 points·6 months ago·edited

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/hamza_weiss78 points·6 months ago

the UK plan: step therapy required 19 medications first. Did them all, got approval. The order matters.

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u/janoshik_junkieindependent tester206 points·6 months ago

Three years on this site and the questions have not changed at all.

Disagree on that part. 99.0% and 98.9% on the same vial is normal.

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u/teodor_duarte112 points·6 months ago·edited

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/bence_zielinski47 points·6 months ago

copay is separate from coverage

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u/cardio_endpoint_c31 points·6 months ago

appeal letter templates are in the wiki

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u/rekha_mbeki10 points·6 months ago·edited

do not suggest misrepresenting a diagnosis, that is fraud

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u/honest_syringe199 points·6 months ago

This is correct. Appeal letters work.

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