Skip to content

Single comment threadYou are looking at one branch of is it normal to get nausea at week 64 — 23 comments in the full submission. View in context.

1.6k

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

is it normal to get nausea at week 64

Appealbranch of 5 comments

Something I noticed reading old threads that I have not seen said out loud. The advice on copay in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the…

Read the full submission and all 23 comments →

This branch

5 comments, started 6 months ago

u/liv_vukovic239 points·6 months ago

Copay was copay for the copay then another 20% of the total. Read the actual plan document.

replysharereportpermalink

u/milan_wikstrom68 points·6 months ago

External review overturned the denial. Took 2 weeks but the process exists.

replysharereportpermalink

[deleted]94 points·6 months ago

[deleted]

replysharereportpermalink

u/idris_iyerOP41 points·6 months ago

External review overturned the denial. Took 7 weeks but the process exists.

replysharereportpermalink

u/arne_amankwah85 points·6 months ago

Strongly agree. Step therapy is predictable if you have the criteria.

replysharereportpermalink

← back to the whole thread

About c/insurancefights

The paperwork war. Prior-authorisation criteria, denial reason codes, step-therapy documentation, external review, employer carve-outs, and the appeal letter templates the community has iterated on for three years. Mostly US-shaped but the tactics generalise.

46kmembers

95submissions

Dec 2023created

submissions / month, last year

Janoshik Analytical

Independent HPLC and mass spec. The number you get is the number they found.

janoshik.com Sponsored

GL Biochem (Shanghai)

Custom peptides and amino acids direct from the manufacturer since 1998. ISO 9001 / cGMP. Batch COA every order.

More in c/insurancefights

1stalled for 6 weeks at 2.4mg and I refuse to panic this time5.4k points · 64 comments
2switched from 10mg to 0.25mg and the constipation got better, not worse5k points · 55 comments
3[Vendor] WXT order #9 — the Netherlands, 33 days, no drama, receipts inside4.4k points · 57 comments
4switched from 15mg to 1.0mg and the reflux got better, not worse4.2k points · 55 comments
5what would you tell week-1 you about appeal4k points · 60 comments
6[Discussion] step therapy is doing more work than we give it credit for3.9k points · 20 comments

c/insurancefights rules

Say which country and which plan type. "Insurance" means eleven different things.
Redact member ids and group numbers from every screenshot.
Do not suggest misrepresenting a diagnosis. That is fraud and it gets you banned.
Independent community. Nobody here sells anything, and anyone who tries is banned.
Not medical advice. Describe what you did; never prescribe to a stranger.
Claims need evidence. Batch numbers, dated screenshots, independent test reports, or a citation.
No referral links, discount codes or affiliate URLs. Permanent ban, no appeal.
No contact handles, wallet addresses or tracking numbers — they identify people.
Be recognisably decent. Disagree hard, insult nobody.

Full rules and how they are enforced →

Moderators

u/prior_auth_pain u/formulary_fighter u/appeal_letter_al u/step_therapy_s

Volunteers. Unpaid, unaffiliated, and reachable through modmail only.

Before you read on

Several compounds discussed on GLP Research Hub are sold for research use only and are not approved for human use anywhere. Nothing here is medical advice and none of it is written by your clinician. If a post reads like an instruction, treat it as a description of what one stranger did.

Full disclaimer →