The health insurance companies assess the patient´s requests for the exceptional coverage extremely carefully. In general, they tend to base their decisions in a very restrictive interpretation of section 16 of the Act on public health insurance. This approach of the health insurance companies can then be revised by courts. In the past, patients were successful with their lawsuits against health insurance companies in relation to the exceptional coverage of medicines, including Kuvan or Perjeta.
Do you also need treatment that is not covered by health insurance and the health insurance company is rejecting your claim? Do you need to appeal the health insurance company´s decision and do not know how? Are you considering filing a lawsuit against the health insurance company? Get in touch with us, we are happy to help you.