Request funding for a medicine or device
For medicines or devices that are not routinely funded, a written request with a clear clinical justification is usually needed.
What to look out for
- Ask your doctor or consultant for a short written clinical justification; it makes a very large difference.
- Set out which alternatives you have already tried and why they did not work or were not tolerated.
- Some treatments have to be approved before they start, so send your request before you pay for or begin treatment.
- Ask for the decision in writing, with the reasons and the route to challenge it.
FAQ
- Does my doctor have to make the request?
- You can write yourself, but a supporting justification from your doctor or consultant makes the request much stronger.
- What if the request is refused?
- Ask for the reasons in writing and for the appeal or complaints route. For a private insurer, an unresolved complaint can usually be taken to the Financial Ombudsman Service.