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pharmacist issues the medicines ("Pharmacies", 2015). In the US you must get a referred by your primary physician to be able to visit a specialist. Many health plans require you to see your physician first. In ("Referral - HealthCare.gov Glossary"). If you need to see some cases, if you do not obtain a referral first
C489 TASK 3 3your insurance may no pay for your visit. In Germany, you can be referred by your primary doctor to a specialist or make an appointment directly with a specialist without you primary doctors’ referral ("German doctors: Visiting a doctor or specialist in Germany - Expat Guide to Germany").Currently in the US insurance providers can’t decline coverage you or increase your insurance rate due to you having a pre-existing condition. Thanks to the Affordable Care Act, health insurance plans can no longer deny anyone coverage for their pre-existing condition ("Pre-Existing Conditions", 2017). In Germany they do not refuse care based on pre-existing conditions. In Germany, there is an agency that manages a collection of money for sicker patients