Did your ins. give a reason? Did you get something in the mail? Curious which pcr the virus showed up on, EOT, 1 month?
There is always the program where the companies give it to you. Others who used it will post soon. Hang in there.
I think we all three pushed post at the same time!
Nice to hear back so soon on my question. JMJM, you are right about the insurance maze...so far I have been unable to have a talk with a living human when I call.
Thanks for the info on other options.
I did get a letter of denial and it said I didn't meet the criteria for medical necessity....They don't approve retreatment if you failed previous regimen of pegylated interferon.
History of bld test..I had 3log drop at 12 weeks, quit my 1st doc who was naive at 24 weeks, at 28 weeks my Quant RNA =undetected(below 615) and my Qual TMA at 30 weeks was detected.
I stopped ribavirin and have continued on with Pegintron as an antifibrotic.
Sorry Laura. Two suggestions. First, continue pressing with the insurance company. Call, call again, and always ask to speak to a supervisor. And if they can't help you, ask to speak to the supervisor's supervisor, etc. Make sure to ask what the "criteria" is for re-treatment. Maybe they need a certain kind of note from the doctor (or doctors) saying certain specific things. Or, maybe they need some sort of documentation. In any event, find out what they require and then get it to them. Think of an insurance company as large maze with someone in the center who can help you. Your quest is to find that person and it may take numerous attempts.
If this doesn't work, or as an alternative, contact the two drug companies at the drug assistance help lines (I'm sure someone will post the phone numbers soon) and apply for free drugs. There may be an income requirement but I hear it's flexible. My uderstanding is there's no asset requirement.
All the best moving forward.
I'd apply to Commitment to Care ( if you are using PegIntron) or Pegassist.com for Pegasys.
C2C phone is 800 521 7157. Pegasys has a website with the info @ Pegassist.com.
Very generous qualification standards. They ship the meds to your door. You will need a scrip. Your doc office can supply them with the info.
Take care, let us know how it goes.
I was denied extending treatment meds by my insurance company (I am going to 72 weeks) and I did what Kalio has advised and called Committment to Care. They were prompt, easy and FREE and they send the meds right in the mail to me.
The insurance company does pay for my Epogen (so far) but even if they start refusing that one - most of the companies now DO have programs to help us out.
And the good news is you really don't have to be a pauper - they allow you to make a living and still approve you.
I think that they would definitely be worth a try!