Topic: Tricare and Zoledronic acid

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Posted on: Oct 30, 2010 05:39AM

Posted on: Oct 30, 2010 05:39AM

Luckylis wrote:

Just wondering if anyone has been told post chemo to have an injection of Zoledronic acid? Having lived in Guam the last 3 years with only one oncologist on island, had this done to the tune of $1200.  Tricare wouldn't touch it (never paid after 2 appeals), as was not necessary they said.  I'm 40, don't really need the osteoporosis IV every quarter :P

On a further note, I cannot get a Naval Hospital employee to renew my Tamoxifen rx for nothin....they look at me like I'm cursed.

Lis 

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Oct 30, 2010 02:29PM lauri wrote:

My onc is keeping an eye on my osteopenia and said if it's worse on the next bone density exam she may prescribe Zometa -- but noted that it's hard to get insurance companies to agree to it,.  (Evidently, it's easier on Medicare -- greater risk of osteoporosis)

From the ashes of disaster grow the roses of success Dx 3/8/2006, ILC, Left, 6cm+, Stage IIIB, metastasized to bone, Grade 2, 11/12 nodes, ER+/PR+, HER2- Dx 11/15/2021, ILC, Stage IV, metastasized to bone Hormonal Therapy 11/27/2021 Femara (letrozole) Targeted Therapy 12/2/2021 Ibrance (palbociclib) Radiation Therapy Whole breast: Breast Surgery Mastectomy: Left Chemotherapy AC + T (Taxol) Hormonal Therapy Arimidex (anastrozole)
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Oct 30, 2010 02:46PM lauri wrote:

By the way -- just checked and it looks like the Medicare Plan D policies only pays about 30% after deductible (and before donut hole) AND require prior authorization.  My guess is that if you have bone mets, there's no problem getting authorization but if you don't and your doctor won't say you need it for osteoporosis, the insurance companies can deny it legally.

From the ashes of disaster grow the roses of success Dx 3/8/2006, ILC, Left, 6cm+, Stage IIIB, metastasized to bone, Grade 2, 11/12 nodes, ER+/PR+, HER2- Dx 11/15/2021, ILC, Stage IV, metastasized to bone Hormonal Therapy 11/27/2021 Femara (letrozole) Targeted Therapy 12/2/2021 Ibrance (palbociclib) Radiation Therapy Whole breast: Breast Surgery Mastectomy: Left Chemotherapy AC + T (Taxol) Hormonal Therapy Arimidex (anastrozole)
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Nov 4, 2010 03:00AM Luckylis wrote:

Well, I don't qualify for Medicare quite yet and my bone scan was fine.  This quack just was padding his pockets I guess.

Lis

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