Guest guest Posted July 10, 2004 Report Share Posted July 10, 2004 well looks as if I wont be getting any relief anytime soon. My insurance wont cover carnitor and I cant afford COQ10. the insurance also refuses to cover my kids pancreatic enzymes. I have appealed and so has the docs, still getting denials. frustrating. you would think they would rather cover the drugs then the doc visits it might save. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2004 Report Share Posted July 10, 2004 What is their reasoning? Are they telling you? I would show them documentation of all the organ systems mito effects and tell them that these meds not only will give you all a better quality of life, but also help slow down the progression of the disease and the additional claims you will then be requiring them to pay for when things progress more quickly than if you had the meds to slow the progression down. If that doesn't work, contact your state insurance commissioner and ask for help. Good luck, Mrsmurffy@... wrote: >well looks as if I wont be getting any relief anytime soon. >My insurance wont cover carnitor and I cant afford COQ10. >the insurance also refuses to cover my kids pancreatic enzymes. I have >appealed and so has the docs, still getting denials. frustrating. you would think >they would rather cover the drugs then the doc visits it might save. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2004 Report Share Posted July 10, 2004 , What reason do they give for denying the carnitor? I can't understand it. Another option may be find out if the drug company will provide you with a discount on the drugs, directly. I was told by a lady that worked in a doctor's office (her job was to help patients get free medication from the drug companies) - that if you don't have a prescription plan, you may qualify for free medication. You need to ask the nurses (not the doctors) about the patient assistant program, as often the doctors don't know anything about it. I'm also very frustrated with insurance companies. I am insured with Fortis, which is one of the larger companies that handles a lot of people who are self employed. I am amazed at how the insurance companies are so blatantly sticking it to us these days. They raise our premiums (I just got another BIG increase this week) until we can no longer afford it -- and at the same time, they create different products (policies) which are more affordable and only offer them to their " healthy " policyholders. Eventually everyone with a health issue will be forced to drop their insurance because of lack of affordability (a great way for the insurance companies to keep their costs down -- by weeding out the sick). It shouldn't be legal. I was told by my agent that the only real option I have is to go to state insurance (HMO) where they have to accept me. Unfortunately, it severely limits my choice of doctors that I can see (hard enough to find a doctor on a large PPO plan, I'm not sure how you that have to - are finding the right doctors on restricted HMOs). Maggie > well looks as if I wont be getting any relief anytime soon. > My insurance wont cover carnitor and I cant afford COQ10. > the insurance also refuses to cover my kids pancreatic enzymes. I have > appealed and so has the docs, still getting denials. frustrating. you would think > they would rather cover the drugs then the doc visits it might save. > > > > Quote Link to comment Share on other sites More sharing options...
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