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u/ines_krastev

Contributes reviews on supplier material. Based in Osaka.

member · joined 13 Apr 2025

2,264post karma
529comment karma
4submissions
20comments

comment on small win: appeal stopped being a problem at week 5 in c/insurancefights · 20 points · 3 months ago

This is correct. Appeal letters work.

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comment on Canada: denial, and what it actually costs here in c/insurancefights · 3 points · 4 months ago

Denied for prior auth, resubmitted with step therapy documentation, approved on appeal. The criteria exist, you just have to meet them.

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comment on Canada: denial, and what it actually costs here in c/insurancefights · -30 points · 4 months ago

copay is separate from coverage

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comment on week one is the most under-discussed thing in c/glp1science in c/newbiequestions · 31 points · 4 months ago

The beginner question took me three weeks to understand. Wiki explained it eventually.

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comment on why does nobody talk about what is in c/newbiequestions · 126 points · 5 months ago

Yeah, that is totally normal for week 6.

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comment on [PSA] formulary is not what most of this community thinks it is in c/insurancefights · 5 points · 5 months ago

say which country and which plan type

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comment on help me understand first time, I have read the wiki twice in c/newbiequestions · 11 points · 7 months ago

is this normal week 22 — yes, probably

Yes, exactly this, and it is the bit that took me 28 weeks to accept.

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comment on unpopular opinion: formulary is massively overrated in c/insurancefights · 9 points · 8 months ago

This is an urgent-care question wearing a forum question's clothes.

Adding to this: appeal is doing more work than the comment implies.

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comment on external review is the most under-discussed thing in c/glp1muscle in c/insurancefights · 30 points · 8 months ago

appeal letter templates are in the wiki

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comment on external review is the most under-discussed thing in c/glp1muscle in c/insurancefights · 169 points · 8 months ago

I am going to push back on this slightly.

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comment on the formulary thing finally clicked for me and I want to write it down in c/insurancefights · 28 points · 11 months ago

Poland plan: step therapy required 2 medications first. Did them all, got approval. The order matters.

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comment on the formulary thing finally clicked for me and I want to write it down in c/insurancefights · -24 points · 11 months ago

External review overturned the denial. Took 20 weeks but the process exists.

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comment on [Results] 16 weeks on 0.5mg, full numbers, ask me anything boring in c/newbiequestions · 8 points · 11 months ago

be kind, condescending answers are removed

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comment on genuine question about week one that I am slightly embarrassed to ask in c/newbiequestions · 26 points · 1 year ago

pens versus vials, same molecule, different price

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comment on step therapy is the most under-discussed thing in c/labresults in c/insurancefights · 14 points · 1 year ago

yep. 65 weeks in, same.

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Trophy case

No trophies yet. Most accounts here never get one.

Cake day 13 Apr 2025
Sponsored

Janoshik Analytical

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GL Biochem (Shanghai)

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