The prescription is taken to the pharmacy by the

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 3
your 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