Insurance?

Hi,
Do most insureres cover treatment for Hep?  The thought hit me yesterday.  Here I go worrying again.  That should be my middle name.

[dyce]

Shot went smooth thus far last nite and the sx effects aren't nearly as bad . Thats strange to me but the day isn't over yet . Just thinkin about my 12 week pcr which is gettin close I'm gonna shoot for may 11th , that will be the trough day of the 11th week . This reosoning is because of continued insurance approval hinging on the 12 week pcr results .As ya already know , undetectable or 2 log drop at this test and insurance continues .

                  So how are all this mornin ?

[fishdoc]

Hey dude, how many worms you gathered this morning?? My pigeons could use some..I actually feel a little better this morning, after shot night!!  But I took thursday and friday off, and snuck off to spend time with just the hubby (remember my small house now has an uncle I really don't know and my mother that spends the day fussing at him...) so I think just 24 hours of peace and quiet helped... Did you read the post that said my PCR results should be back on tuesday? 5 day turnaround is not too shabby.... one bright note: woman that drew my blood said she had a client that didn't clear, tx knocked him on his @ss, did the whole tx twice, and she said he cleared, and he tells her he feels so good now that he didn't even know it was possible to feel that good...so lets hope for that for one and all, for most the first time around, but for the unlucky ones doing it twice.... its got to be worth it...
take care,
c.

[jmjm530]

Glad you're feeling better. A little unclear on that 12 week thing, but my understading is that usually the 12 week PCR is taken the day before the 13th shot which would be the trough day, as you mention, but do check with your doctor. Or, is your reasoning that if you take the test earlier, it won't effect your insurance one way or the other. It would seem that if this is a factor with your insurance carrier that they then would be looking at all results and wouldn't you have a better chance of clearing or two log drop  at week 12 than at week 11? I'm doing pretty well -- best week yet -- and thanks for asking. I'm off the the beach in a little while.

-- Jim

[Fisheress]

Good morning.....glad your sho twent good last nite and not feeling any side affects (as of yet anyway), seems to get better as time goes on although I really had no sides starting tx.  Since #33, it has been a real booger of a deal w/sides.  I do my shot on Sat nite and usally do good untill Tues.  Weird huh?  Sometimes sides from shot can last till Wed!  Whats weird that has NEVER happened before was this past Thurs nite, had a headache start about 8pm, went and layed down at 9, by 9:45 was hit with flu symthoms, chills, the headache, all joints and muscles hurt but no fever!  Took a tylenol pm at 10, woke up at 12 and took 1 more.  Stayed in my cave (bed) all day yesterday just to make sure I was well rested and all had passed.  Do shot #35 tonight!  Woohoo, getting closer to 48 weeks!  Just wish they would do a 36 week PCR at the study clinic but they told me not untill I am finished.  Suppose I could go to my reg doc and have him order me a Heptimax test at 36 weeks just for the fun of it!

Have a wonderful weekend, good day to lay around here, it's raining.

Fisheress

[dyce]

The reoson , I should explained more , the 12th shot is on the 19th of may . I believe the trough day would be on the 25th of may . The insurance discontinues may 30th , so if I clear or get the 2 log drop the doc will get it approved again but this would cause  the next rd of drugs to come  back late . I'd probably get them 10 days or better late .  

                                  So if I get the pcr date done earlier , I hope to keep the meds on schedule pending the pcr results are good .

[can-do-man]

Dyce, glad it went smoth for ya, Took my shot before bowling this morning. Got a little baseball at one. You know you'll least have that 2 log drop. I did this morning. Well you'll also have the other 2 log or better at week 12.

Fishdoc says.....how many worms you gathered this mornings......
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Kinda nosey aren't we. can't answer for dyce, but you ain't gettin mine. GEEZ.... Good luck on your results. Bet ya make it.

[can-do-man]

Hope this one is better for ya, once your pool boy gets  there all will be fine. Have a good rest.

[jmjm530]

Sounds odd the insurance company wouldn't see you through to week 12 or are you saying you're not going to renew you med insurance if unless you get a two-log drop? I'd think you'd want some sort of insurance regardless. If you can, why not renew it now and then cancel whenever, if that's what you choose. I believe these policies are pro-rated if cancelled but you'd better check that one out. Good luck in however you proceed, I know these insurance issues can get quite complex so I'm just throwing out some thoughts.

-- Jim

[sfbaygirl]

Yep, it is an outrageous cost, but I have $10 copay, dental, vision and my husband and step kids are on Cobra too. Hubby says we can get some high risk ins. I doubt they have the plan I do, tho. I have heard Healthnet insures anyone? My husbasnf is a lawyer who works solo. I wonder if he can get ins.,as a company, with me as an employee. I am the 'official' law clerk.  Nothing goes out without my editing and opinions.

The insurance situation in this country sucks.  Too bad Hillary bungled the health plan. Single payer would be good.  To late to go   back to that, the ins. co' have closed that door, I think.  

You are correct in saying so many can't afford the $1000. we pay. It's sad to see people suffer w/o ins.  Another thing that gets me is how much discount ins. co's get for drugs, tx, etc. They pay about a tenth of what the hospitals charge a private citizen.  There should equity at least!

[amirtracy]

Commitment to Cares phone #[phone], also has link thru schering-ploughs website. $70,000 income limit in florida...other states may vary.

http://www.atdn.org/access/pa/filg.html  link for Amgens Safety Net progam. Free neupogen if necessary, some income restrictions ($60,000 income i believe)

http://www.procritline.com/patientassist/intro.jsp  link for free procrit...

i am unisured and uninsurable in the state of florida ...
anyone know if there's high risk insurance in this state? i've tried but can't find much. thanks. everyone have a great weekend.  tracy

[dyce]

It's not cancellation of the insurance but discontinued approval of the meds at 12 weeks. See the insurance would only approve the meds for the 1st 12 weeks of tx . If I get undetable or a 2 log drop the insurance will approve another 12 weeks of meds .That will carry me to 24 weeks , then If I'm still clear the insurance will approve anther 12 weeks of meds .

              You have to prove to the insurance co every 12 weeks the tx is working before they will approve it anther 12 weeks . If I follow the 12 week pcr   trough schedule my shot 13 would get delayed due to waiting on approval . This is cause of the pcr take about 10 days to come back . On the 12th week trough day pcr , I would never have my shot the following week , it would take longer for the pcr results to come back then that.  Then faxing them to the insurance , the next approval process would dirupt the meds schedule .

         So if I get the pcr done at 11 weeks I'll keep the meds on schedule .

[can-do-man]

Since your insurance is like that. My thoughts would be take the test the day after your shot and don't get a real sensitive pcr test. Plus check in to commitment to care for free meds and same as for procrit. Don't know how high your income is, but they consider family members in your house. Plus they have high incomes limits. Just my thinking so you know what thats worth.

[sfbaygirl]

How did you get on this ins?  I am on Cobra and hope that I will be through tx, although expensive, they cover a lot. I am worried about trying to get ins. later.  Who will insure me with this diagnoses?  I don't mind paying $1000. a month for my family now,  but wonder what copays and coverage I could get w/ a high risk ins. co.

[doglover28]

Thanks for all the posts.  I have Blue Cross/Blue Sheild through my husband's work.  Thanks to all for the links to organizations that will help with this.  I am sorry to those that are having trouble with their insurance.

[sfbaygirl]

Wow,  I hadn't thought about week 12 in those terms. What happens if you don't take the meds for a week?  Perhaps you can take another PCR at week 12 to send the ins. co if the week 11 doesn't clear.  This is a bummer.

Tracy,  thanks for the number!  I would qualify, but hubby definately will not, therefore I think I won't.  I have mentioned divorce, just so I do not have to drain his trust account with my illness.  He doesn't like that idea, neither do I.

Maybe you can make the trek I have heard you Floridians to treat.  Its awful what we have to do to get rid of this, as if it isn't  bad enough.

[BillyC]

Been a long time - infected for 20-30 yrs. Just got the undetectable news  @ wk 36 of Infergen 15 mikes and 1200 riba daily. My insurance wouldn't pay, so my Doc has me on a (hopefully) sufficient supply of samples. Ibuprofen 3 or 4 times daily helps me alot. This is my 3rd tx. The first was Interferon  and Riba 1200 for 12 wks (only took me down from 3,000,000 to 80,000) and pegIntron and riba 1200 -same deal. Because of the current 'success', I wonder if I shouldn't have been on the other tx's longer before giving up. Anyway, if this isn't a keeper in 10 months, at least some of my stage 3 damage has been reversed. And there's always VX-950.

[dyce]

I'm gonna call the insurance co, I'm probably worried over nuthin . This whole deal seems to do that . What I'm tryin to do( i'll have coverage if tx is workin) is to keep things movin so all the approvals for the meds don't disrupt my tx . If the tx isn't workin , we wait for newer drugs . Dern insurance can be b-llshit to deal with(health assurance).

[dyce]

How ya guys doin ? Just got up again outta bed . Been gettin some well needed rest , slept biggest part of day (yawn). So far the shot ain't as bad , sleepy , but after no sleep all week , no wonder . No sleep aid today , only used 1 so far , am tryin to only use em when I need em .

[can-do-man]

Good, sleeping will keep you out of trouble. The head cam dude i already got the popcorn

[dyce]

Ha dude , couldn't get it done last week , my work kept me on the ground but faithfully a pipe was dribbling yesterday , hammerin a brand new ceiling in the annex . It's a good drop , with cam installed you'll get a good adrenalen rush just watching and I should too , that is until impact . Then  I'll be fitted into a new jacket and put in a room where I can ram walls , do flips on me head and all the fun stuff while on tx .


       I told the boss of the video , he said dyce, you simplton , you hurt 1 of my floors on the drop , you'll fix em on yur time !!!!!!

[can-do-man]

said.......I told the boss of the video , he said dyce, you simplton , you hurt 1 of my floors on the drop , you'll fix em on yur time !!!!!!


LMAO, got a good laugh out of that. Oh well you gave it your best shot.

[fishdoc]

dang dude, another sx.  your pipe is dribbling, and you can't get it done... I'm willing to bet insurance worries have a lot to do with non-performance.... and theres always the little blue pill..... sorry can man, if I beat you to it!!  I bought the hubby a Bright Blue Martin (is it Mark?) Nascar hat.... for some reason, its not one of his favorites...

I thought you were up before the chickens...

[Fisheress]

LOL!  Yes a coastal girl I am, have been all my life although would rather live on an island somewhere.  I am in Kemah, Texas on Galveston Bay.  It's a little town (although ALOT of tourist) 1/2 between Houston & Galveston.

New rod & reel huh?  COOL!  Well Roger is looking REAL HARD at a boat for us to hit the bay.  His client is purchasing a large express Sea Ray from our brokerage firm (from Rog) and has a 1995 20' Center Console Hydro Sport w/a 200 horse power Johnson, stainless t-top, tamdem trailer, has all electronics and the boat is in mint condition.

WOOHOO, if he gets it I can at the least do some speckled trout fishing at night under the lights untill I am off tx.

Oh and Can-do....you can't call me "Fisherless anymore!  I am like soooooo ready to wet a line!  Hmmmmm may need to start a new project, work on my rods (new line) get my tackle boxes in order and restock.

Now I'm getting excited, wish he would hurry and make up his mind!

FISHERESS

[can-do-man]

dyce wow your pipe is leaking even after you shake it? Duct tape man fix's everything.

Fishy smell, Good grief always in the gutter gal. I'm glad theres a couple of us that try to keep it clean here. And for the other day it was very hard to not comment. But i know most that wouldn't be mad. But there i don't know and didn't want to get booted from here. Just my feeling it would not have been takin as funny

[fishdoc]

Tell yourself dogs, like fish, will wait.  Thats why I went for pigeons, low maintenance, don't get hyper when they don't get worked... but I absolutely can't imagine saddling up my horse and heading out for a long ride....I tell the hubby they are "pasture ornaments", just appreciate how pretty they are...

as for old friends, I think they hate asking as much as we hate telling them how we feel.... I watch caller ID, and just don't answer my phone much....

I am feeling pretty chicken sh!t, self centered, spoiled little whiny baby these days..so I know they don't want to talk to her!!  I'll just annoy all my internet friends instead!!!  They can't talk about me, cause they don't know who to talk to!!!

[fishdoc]

My philosophy is and always has been.....F()ckem if they can't take a joke......and one thing I do know, man, do we all need a laugh....I watched the movie the other night "nothing to lose" with martin lawrence and tim...robbins...  I love that movie, laughing out loud is a good as taking a pill....notice I didn't go to the gutter, its a good movie, but hey, not that good....
how you doin on saturday??

[dyce]

Blindman is a walkin down the street and as he pass's a flower stand , he smells flowers, so he stops and buys flowers .

Next as the blindman walks he pas's a donut and pastery stand , he smells pastries,  so he stops and  buys one .

  Well the blindman continues his journey and he pass's a fish stand ,he smells fish and he walks over and says , well hello ladys .

[can-do-man]

took my shot early today, made it to grandsons bowling league and the others little league game. Almost had to crawl to the car. but better now.

And i agree with you on.F()ckem if they can't take a joke. But only a few here can't. So off to email city whining they go.

[dyce]

I no what ya mean , I think I've rubbed a few wrong in here .

[fishdoc]

You know its great that I don't remember cr^p...If I annoy someone this week, by next week I'll think there my friend again.... spacey has its advantages...

dyceman, you pickin on us carpheads??  just can't take a little leaky pipe humor.....;)

[can-do-man]

I would say 98% here don't care. And i figure were all middle age adults here. So i'm sure there isn't anything we say they havn't heard before. I'd rather try to give a smile, it helps more then being a prude. Plus were to old to change now even if we wanted to. Which i don't. Kinda like being crazy. Well you know that. were in the same boat without both oars.

[can-do-man]

dyce said..... I think I've rubbed a few wrong in here...... Please tell me its the girls you rubbed? if so maybe i could give you some pointers

[dyce]

(LOL) I gotta take my shots too fishy!! Ha lets get this straight , first ya tell me yur a fish then now yur tellin me yur a chickin . Serious , don't worry bout the selfish feelins or pity , yur goin thru a h-ll of a tx here. How else at times could 1 act, s-it ya work and all and folk don't understand how sick this stuff can make us and frankly that pi--s me off to the point of snappin around and showin my fangs with growlin and frawth a flyin . Don't worry , your just gonna get thru this !

[dyce]

I'm like ya , the post the other day I was afraid of , don'w wanna get zapped . I got some good friends here!

[dyce]

You guys call me what ever ya want , but please , don't call me late fer supper!

[dyce]

Ha fisheress , thats a good idea , using your pcp would be just as good a idea as any for results at the 36 week pcr date . I am thinkin of doin that later down the road . Your gettin down the road with this deal and the way the sx's are beatin ya , it gotta be workin . Aren't ya from new mexico?

[fishdoc]

HMMMM, dyce I think I'm from NM, and fisheress is from......coastal texas, but can't remember the town,,, galveston maybe.... but I might be from galveston, and she might live in NM.... nothin surprises me anymore...;).  Hubby is out trying out the new rod/reel.... he do love them LMB...

[dyce]

Fishy , must you be so graphic . I use to do a lot of fishin back in the day . Hardly any time any more . Trainin pups and raisin a family eat up a lot of time . Use to do a lot a bass fishin , caught some nice largemouth at nite usin jitterbugs and hula poppers . Tellyer ole man , goodluck from the dyceman .

[fishdoc]

we love our children, but there advantages when their grown and gone....

[dyce]

Was up at 4.00 am thankyou , but had the option of goin back to bed hee haaa it's riba saturday remember , sleep if we want day, well hopefully anyway . The drippy pipe sx isn't so bad when ya got a lead pipe there fishy . Seriously since starting the ambien , I've only taken 1 thursday nite , last nite the peg brought the sandman to the house .I'm takin few of them things as possible but I'll do what I gotta do to function .

        Ole buddy stopped askin how I'm a doin . Coondogs are the thing we have in common . He raises some of the best treein walker stock in the country . I've raised and trained a lot of em , got big bucks outta em . Man do I miss it !! Thats why he likes to bring em here , he knows I'll run the hyde of a pup to get the full potential outta it .

[dyce]

Good mornin fish's , yes doc it's 5.30 here and I been up for an hour , the best part of the day . Since hard coon dog trainin is out the window right now , I'm thinkin of gettin the rods out , slap the girls around a little , get em in fishin mode , and hittin the locks on the river for small mouths and walleye . It would give us some time together , wouldn't hurt em to get away from schoolwork and video games fer awhile .

          A couple good lakes on top of the mnt. host northen pike with good largemouth bass populations and don't forget the big bluegills a body could fish for when boredom over takes the girls when the bigger game fish ain't biten .

[dyce]

Your right fishy , We're all so busy , school will be lettin out soon , so the girls are countin down the days this mornin . Dang shot isn't as bad as last week but I dern well know it's there , took the riba at 930 this mornin and it is always workin seems . Just got in from yard work ,tryin to get caught up on the chores ya know . How bout ya fish , whats on yur plate for  the day?

[fishdoc]

Hey Dyce, lets see.... making yesterdays predictions come true...see potential sexual partner thread... I can P!ss people off without even trying, its a god given talent!!  And trying to get my house in order  enough that I can carve out a little peace and quiet space for ME ME ME.... thats where all the rest of the world is wrong!! The universe does revolve around me....
Just kidding, but I am trying to putter around, and trying to organize so having two extra people in a small house is less chaotic, I am so spacey these days I have a hard time keeping my sh,, stuff together, let alone two extra piles of everything.. but I am feeling just a hair better after 4 days off, but only marginally..Thinking about going into town tomorrow or tuesday for bloodwork results and getting all my hair chopped off....its really itchy on my back under my hair, and I have already cut it off twice..its probably only ten inches long...I'm thinking of a Halle Barry look.... oh crud, it'll take more than a hair cut...

How bout you? You get a line and I'll get a pole.....take them girls to the fishing hole...

[dyce]

Got one h-ll of a headache now fish , was outside there aand the sun beatin on me , plus good ole reliable riba brought it on .Mowed all the grass and ya know how the mower will  kick out the carbon monoxide . My hmg is down and it don't take much to trigger a cranium pounder . Have a good day fish, I'm relaxin a while here.

[fishdoc]

enjoy your nap... grass, like dogs, fish, etc. will wait... I'm thinking a couple pygmy goats might be in order.....

[fishdoc]

when all else fails....fish...

Hubbie caught about 20 LMB last night...came home stinking of fish, but with the stress of the day gone from his face....
we too are considering a boat, and the one you described is pretty darn close.  we know nothing of salt water, but man did I get hooked while in GA.  Where we are the only real lake fishing in 250 miles a way... so we are not in a hurry....

dyce, take them girls fishing!!  look at this way, if your really lucky-they will love it so much they'll grow up to be a foul mouthed fishdoc......

I'll never forget coming in at 2-3am from the backside of the lake after a night catfishing, listening to the bullheads croaking in the bottom of the boat... Dad told me to clean them.... and somehow, they all got away....;)

[can-do-man]

fish says..............How bout you? You get a line and I'll get a pole.....take them girls to the fishing hole...

SAY WHAT? Them GIRLS to the fishing hole....Hmmmmmmm.. Could you film it? Fishydoc and the girls?

[fishdoc]

Hey, Dyce and I are feelin pretty low, how are you doing??  Been hiding out for a while?   Hope all is well in the can mans world...did take a good picture of a blue grosbeak at my feeder earlier... takes so little to make my day ;)....
have a good shot day...