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TK insurance looks like a scam

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Dear all

 

I am stuck at an issue . I am insured at TK health insurance

 

I need to get regular medicine who costs around 200 euro per 2 months and my insurance covers 90% of costs

 

My doctor who prescribes this is in another city and instead of going by train every 2 months I wanted to get the prescription from another specialist in my town

 

I tried 2 of them to give me the prescription and they told me is too expensive for their budget ?! Wtf does it even means ? They told me they have a budget (The doctors) and they cant go above it . Wtf x2 .

 

Now it seems I am stuck at getting the prescription from the initial doctor and travel 2 hours by train every month

 

Is this legal that the Dr. from my city refuse to release my prescription who was released by the other doctor ? To whom can I complain -_-''?

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The doctors do indeed have a budget of how much they can prescribe and if they go above this budget, they may have to pay for it themselves.  This is not a TK problem.  I am with AOK and it's the same.

 

Instead of going to the doctor in the other town every month or two, try to get him to write you a 3 month prescription which is the maximum they can do and / or ask if he can mail you the prescription at least some of the time instead of you coming there.  I am on medication too which is only something like 100 every 3 months and before I found a specialist in my town willing to prescribe it, I was going to a specialist in a town about 1 hr. away.  They did however send me my prescriptions by mail although they wanted me to come in every 6 months for a chat and some bloodworks.  Still, every 6 months is a lot better than every month or two.

 

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