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Post Info TOPIC: denied
Moocow


Guru

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RE: denied
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Nikki, go check out the information in this thread- Roche or Schering-Plough (dependent upon the peginterferon you will be getting) WILL send you the meds you need!!!!

Also, write your State Insurance commission. Letters help push those rotten insurance companies to pay.



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Remember.......
Pillage before you burn.
Ron Gilbert


Senior Member

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Sorry Nikki,

They did the same thing to me.

I can only hope your situation is as easily resolved as mine was. They wanted a blood test more recent than 90 days for me to get approved. (my Dr is so slow it took more than 90 days to get back in the last time around) So I needed another lab visit and then had to wait another few week for approval. It was awful and difficult waiting the few extra weeks. 

Ron 



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Genotype 1a Diagnosed in 1991. Started tx April 27 2011 for 48 wks. VL before tx  1.6 - 4.6 million. RVR-week 4, UND-week 8 

Vitamin D3 suppliments can increase chances of reaching SVR. See Nutrition section for links.
Greg


Guru

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Hi Nikki, flowerpot.gif

Sorry to hear about your claim, I'm afraid I can't offer any help only my best wishes that you will get this sorted out.

Take care and be strong,
Greg



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The mind is like a parachute it works best when it is open. "The Dalai Lama" My blog: http://greghcv.wordpress.com/
Genotype 1a, started tx 1st Feb 2011, for 48 wks. Week 24 PCR 26/07/11 Non-Responder
New TX start date 12th Sept 2016 Harvoni x24 weeks.  VL 7.4 Mil. Week 4 "Undetected"
James10500


Guru

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I'm sorry this happened. I am not sure how common it is, sorry I can't help there. You may want to ask this question in medhelp.org in the HCV forum there are people there who may have dealt with this.

James



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Diagnosed 4/13/10; Started Tx 8/13/10; SVR 7/27/11
dity3


Member

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Posts: 23
Date:
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Hi all,

I was going to be starting tx last week. The insurance company has denied my pharmacy claim for Pegesys, even with all of the medical information they requested and my doctor sent them.  I do plan on a appeal. Is this a common thing to happen?

 

Much thanks,

Nikki



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GENO type 1a HCV feb 2011 VL-24,000,000 tx June 2011

"I always knew I had demons. I didn't know I had 24,000,000 of them!!

 

The only thing fair in life is a ball...hit it between 1st and 3rd.~unknown
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