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c/glp1canada·submitted 4 months ago by u/milos_vestergaard

how much of what we believe about private plan actually comes from Canada threads

Private Planbranch of 6 comments

Question in the title, detail here: how much of what we believe about private plan actually comes from Canada threads. Nothing here is medical or legal advice. The pharmacist and the prescriber are the people who can act, and both are faster than a forum. Spent three weeks on what turned out to be a quantity limit…

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6 comments, started 4 months ago
u/isabela_guerrero37 points·4 months ago

Employer-sponsored plans have their own criteria and appeal processes, independent of the provincial formulary. Which one applies determines everything about the route.

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u/the_poster_in_question_202613 points·4 months ago

a rejected claim is not the same as a denied authorization

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u/hedda_aguirre8 points·4 months ago·edited

a rejected claim is not the same as a denied authorization

This is why every thread here needs a province in it.

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u/lane_watchermod · logistics5 points·4 months ago

say the province or the answers will be wrong

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u/careful_gradient3216 points·4 months ago

Agreed. Province first — coverage is a provincial decision and national answers are wrong somewhere by construction.

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u/diego_almeida4 points·4 months ago

private plans and provincial plans are different fights entirely

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