[demygale]

We have really good insurance and now that my partner needs treatment for a chronic illness, they are denying the treatment. It’s lowering her quality of life, may lead to her death, and it’s absolutely standard operating procedure for insurance companies. It’s a delaying tactic.

Healthcare is hard here.

[lotsofpulp]

The only reason insurance would (legally) be able to deny treatment is if there is no good efficacy data.

If your doctors say there is supporting data for the treatment they are recommending, then filing and appeal is an option.

https://www.healthcare.gov/appeal-insurance-company-decision...

I believe it works similarly in countries with taxpayer funded healthcare. Some group of people at some point in the process decide what is eligible to be paid for by the government.