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Re:Children with cancer scammed out of millions fundraised f... by hermanzegerman on Tuesday December 16, 2025 @07:34AM (#46287748)
If a treatment isn't approved yet, you can usually submit a request for getting it paid.

You need to show that it has a chance of working (literature etc...) and it will be reviewed by a doctor from the "Medical Service" which is independent from the Health Insurers.

If they decide it should be paid, it will be paid (which is most of the time the case).

Otherwise you can go through the social courts. (No court costs for the insured person. You can get a lawyer reimbursed if you're poor)

Re:Children with cancer scammed out of millions fundraised f... by duskdozer on Tuesday December 16, 2025 @08:42AM (#46288378)
Interesting. Do people win in any significant number of cases, or is it more like the "appeals" process in for-profit systems, where it's supposedly possible to win but generally does not happen?
Re:Children with cancer scammed out of millions fundraised f... by hermanzegerman on Tuesday December 16, 2025 @09:54AM (#46289269)
From my limited experience it usually already gets approved by the Medical Service.

Especially within the University Hospitals who administer these treatments they already have the experience how to write these applications and know their counterparts