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Author Topic: Worrying about denial on meds?  (Read 7632 times)

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Offline lovinglife

  • Member
  • Posts: 21
Worrying about denial on meds?
« on: February 18, 2015, 11:39:21 am »
I was worried too, but got approved by BCBS for 12 weeks Harvoni (thank God) despite the fact I had no cirrhosis, normal Alt/Ast, and barely F1 fibroscan.  BCBS wanted me to do interferon) good grief - that's nuts! ... UNTIL my GI doc informed them I had a history of Clinical Depression. Now I would not recommend saying this unless it is true, and I COULD prove I had treatment for that.  But doc thinks this is what got me the meds.
I must add I was prepared to fight any denials with the suggestions made in this forum. I was also ready to take it to the media and informed my team of that. You have to advocate for yourselves and your loved ones, and not just roll over like insurance companies want you to.
Blessings to all.

Offline morning_glory

  • Member
  • Posts: 104
  • This is the first day, of the rest of your life...
Re: Worrying about denial on meds?
« Reply #1 on: February 18, 2015, 11:51:11 pm »
Lovinglife, that is awesome news!!! So happy to hear you're able to get Harvoni! And for 12 weeks, way to go! Keep us posted, on how you're doing.  :)

Was it with Express Scripts/Acreedo? If you don't mind me asking - What is your co-pay?

Blessings,
MG
Likely infected - mid 70's / Diagnosed - mid 90's
Geno type - 1a
AST - 45
ALT - 51
Viral Load - 435,120
Liver Biopsy 6/2004 - F1-2
Fibrosure 5/2011 - F1-2
Fibrosure 2/2014 - F-0
Treatment Naive, prior to Harvoni
Harvoni started on 5/16/15
8-week Treatment Completed (7/10/15)
4-week bloodwork (6/11/15) Undetected, AST 15, ALT 17
8-week bloodwork (7/13/15) Undetected, AST 14, ALT 16

Offline lovinglife

  • Member
  • Posts: 21
Re: Worrying about denial on meds?
« Reply #2 on: February 19, 2015, 09:29:29 am »
I use Cura Sript and highly recommend them - very efficient and kind. My co-pay is 5.oo bc my doc arranged some kind of help for me. Am I blessed or not? Please feel free to ask any other questions. Take care.

 


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