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Impossible to get Accutane covered by insurance?

I've had acne for 15 years, and I've been through everything. I don't have insurance right now, and my job isn't going to be providing it anytime soon.

I've applied for insurance, but they refuse to cover my acne because it's a pre-existing condition. Does that mean I will have to pay for Accutane out of my pocket?

How long does it take to get an exclusion or is that even possible?

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