Many of our members face the challenge of having to bear the financial burden of their cannabis medication alone. It is often difficult to obtain reimbursement, especially for cannabis flowers. With cannabis extracts, however, the chances of success are somewhat higher. In order to provide you with the best possible support, we have put together some practical tips that can help you prepare the application for cost coverage in a targeted manner.
The application should be well thought out
When submitting an application for reimbursement, you should be aware that many applications continue to be rejected. Each request is examined individually and the chances of success depend largely on your diagnosis and your personal circumstances. That's why it makes sense to protect yourself thoroughly in advance and check what your chances are of having the costs covered in your specific case and to argue accordingly. Unfortunately, as Association we cannot currently recommend any specific legal professionals. However, we are working on being able to offer more comprehensive support in this area in the future.
Tip 1: Ask for a reason for the rejection
If your application is rejected, it is important to request a written and detailed explanation from the health insurance company. Every health insurance company is obliged to explain its decisions. Ask specifically about:
- The legal basis of the decision
- The medical criteria that are allegedly not met
With this information you can work specifically on the arguments for further applications.
Tip 2: Get legal support
If you are unsure how to proceed, consider consulting legal professionals. Specialists in health insurance law can help you:
- to lodge an objection
- To initiate a complaint procedure
Even if this is initially associated with costs, it often saves time, money and nerves in the long term.
Tip 3: Support from medical professionals
A strong medical argument is often the key to success. Speak to your doctor and ask for a professional refutation of the health insurance company's justification. A well-documented statement can significantly strengthen your position.
Tip 4: Contact the health insurance ombudsman
If you don't get anywhere despite your best efforts, the health insurance ombudsman's office offers a free point of contact in the event of disputes. This independent institution can mediate between you and the health insurance company and help find a fair solution. You can find the Ombut Office website here.
Conclusion: Persistence pays off
Getting cannabis medication covered by health insurance companies is often a lengthy and challenging process. Many of our members needed several attempts before they were successful. It requires patience, perseverance and a clear strategy. However, with well-founded arguments, support from doctors and, if necessary, legal advice, you can increase your chances of success.
If you find our work sensible and important, then you become a member or support us with a donation . Together we can change the view of the medical use of cannabis.
