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If you need a drug that has not been officially approved, in some cases not all insurers have the same chance of obtaining it. This is demonstrated by a new study.
If no other drug helps, doctors can request emergency therapy with a drug that has not yet been approved.
Photo: Keystone
Andrea Meier (Name changed) suffers from a malignant stomach tumor. Two chemotherapies are at 68 years oldgramand patientfailed. Your oncologist In the cantonsspital Baselland sFor this reason, it proposes a preparation that has not yet been officially approved. This emergencytherapie is regulated in article 71 of the Ordinance on health insurance. The doctor can to request reimbursement from the health insurance company.
Insurers received almost 38,000 such applications in 2019. In 2012, shortly after the exemption was introduced, there were still 7,000. Therefore, the Federal Office of Public Health has askeds volkswireconomic advisory offices BSS in Basel took it upon themselves to closely examine this special case, which is no longer a problem.
