Posted on:
Feb 24, 2017 10:42PM
D
wa
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Feb 25, 2018
Posted on:
Feb 24, 2017 10:42PM
denisel
wrote:
aromasin - my oncologist with Seattle Cancer Care Alliance prescribed Aromasin for ER/PR+ type cancer , insurance denied after 14 days of waiting.
Dx
12/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/5 nodes, ER+/PR+, HER2-
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K
ksusan
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Feb 25, 2017 01:46AM
- edited
Feb 25, 2017 09:08PM
by
ksusan
It may have been an error. Call them directly for an explanation. In addition, have your oncologist's office call.
I was told last week by my gynecologist's office that my insurance had lapsed. I said that this wasn't the case, and among the evidence was that I had had pre-approval for a CT the week before. They insisted, so I called my HR office, which confirmed my coverage and wrote an email to my carrier. The carrier confirmed my coverage and noted that the medical office hadn't logged any inquiry with them. I forwarded this to the medical office, which magically then determined that I did have coverage.
Meanwhile, look at GoodRx.com and other online prescription discounters that offer a free card and coupons. I've used Walmart and Costco coupons from them to get non-covered prescriptions at a discount.
Good luck! It's frustrating.
Mutant uprising quashed.
Dx
1/2015, IDC, Right, Stage IIA, 1/1 nodes, ER+/PR+, HER2-
Dx
1/2015, DCIS, Left, Stage 0, Grade 3, 0/2 nodes, HER2-
Hormonal Therapy
Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Surgery
Lymph node removal; Mastectomy; Mastectomy (Left); Mastectomy (Right)
Radiation Therapy
Whole breast
Chemotherapy
Cytoxan (cyclophosphamide), Taxotere (docetaxel)
C
cive
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Feb 25, 2017 05:18AM
cive
wrote:
They may have denied it because femara is less expensive. With my insurance they would want a reason why I'm taking a more expensive drug before they would cover it.
D
denisel
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Feb 25, 2017 08:21AM
denisel
wrote:
cive thank you. I'll find out what the issue is and will start Monday. I don't know why it just bothered me so much but it's so insulting. The medicine is actually $23 for 90 days without insurance which is definitely doable, it's more the principle. I have learned so much in the past two months . Thanks again
Dx
12/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/5 nodes, ER+/PR+, HER2-
C
cive
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Feb 26, 2017 06:51AM
- edited
Feb 26, 2017 06:54AM
by
cive
Hmm! With my medicare advantage plan the price would be $90/month. Perhaps I should check into buying it without using my insurance. I think it quite likely I will be changing to it since my TMs skyrocketed this month. Just checked goodrx and it's more than $200/month everywhere with goodrx coupon.
D
denisel
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Feb 26, 2017 08:12AM
denisel
wrote:
Hi Cive, I was incorrect , it is Anastrozole. Maybe the insurance company has an issue with this one however I aM post menopausal,hmmmm. I'll find out tomorroe
Dx
12/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/5 nodes, ER+/PR+, HER2-
D
denise-g
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Feb 26, 2017 01:34PM
denise-g
wrote:
I have no drug coverage...I found to always check with COSTCO for prices. You do not have to be a member.
My Arimidex prescription is only $27.00 for three months. Walmart was like $300.00 a MONTH!
Anyway, do check with your insurance company. Most likely is an error. My sister's insurance company will
only approve her AI for 1 month at a time.
www.denise4health.wordpress.com my BC Blog with over 200 informative posts about all aspects of BC - stop by! Myself, my mom, and sister were all diagnosed with BC within 3 years. What a ride!
Dx
10/10/2011, IDC, Left, 6cm+, Stage IIIA, Grade 2, 9/14 nodes, ER+/PR+, HER2-
Surgery
11/22/2011 Lymph node removal; Lymph node removal (Left): Underarm/Axillary; Mastectomy; Mastectomy (Left)
Chemotherapy
12/26/2011 AC + T (Taxol)
Targeted Therapy
2/27/2012 Herceptin (trastuzumab)
Hormonal Therapy
10/10/2012 Arimidex (anastrozole)
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denisel
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Feb 26, 2017 02:59PM
denisel
wrote:
Denise-G, thank you! I'll keep that in mind for certain, I can't believe the difference for the same meds
Dx
12/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/5 nodes, ER+/PR+, HER2-
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GAMomma
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Feb 28, 2017 06:40AM
GAMomma
wrote:
although I do not face this problem,I wanted to add my 2 cents 😉
Definitely ALWAYS call your insurance company direct if ever denied anything. Sometimes it is the way the script is written. As another member stated that some insurances only approve 30 days at a time. When my Mom was in hospice her meds only would refill every 15 days. Unfortunately due to life expectancy 😢
Hopefully you can get it straightened out.
Dx
1/1/2017, DCIS, Right, 6cm+, Stage 0, Grade 3, 0/3 nodes, ER+/PR+
Surgery
1/16/2017 Mastectomy: Left, Right
