Re: BDBS coverage in Illinois

[Guest guest]

If you haven't already done so contact Spoc Online. They will help your sister

with the appeals process and/or help financially.

https://www.spoconline.com/spoconline/xolair/channel.jsp

Pat may be able to help you further.

tlampros2000 <tom.lampros@...> wrote:

Does anyone know of Xolair users that have gotten BCBS in Illinois to

cover it? They won't cover it for my sister. She gets it now through a

foundation but she's going back to work full-time and they won't

provide it any longer because she'll make too much money. I think BCBS

won't cover it becuase the respiratory test isn't bad enough but all

other criteria is met. Any tips on getting coverage is appreciated.

It's really been helping her. She has been on Pred for years and every

other med for decades.

[Guest guest]

If you go to the files on the left, there is a great article Greg

wrote for us a couple of years ago on how to get insurance company to

cover it. All the BCBS variants have appeals processes. Also, if

she's already on it, it might be easier now for her to be approved....

Good luck!

--- In , " tlampros2000 " <tom.lampros@...>

wrote:

>

> Does anyone know of Xolair users that have gotten BCBS in Illinois

to

> cover it? They won't cover it for my sister. She gets it now through

a

> foundation but she's going back to work full-time and they won't

> provide it any longer because she'll make too much money. I think

BCBS

> won't cover it becuase the respiratory test isn't bad enough but all

> other criteria is met. Any tips on getting coverage is appreciated.

> It's really been helping her. She has been on Pred for years and

every

> other med for decades.

>

[Guest guest]

BCBS of IL did cover it for months for me. but, abruptly stop coverage

without notification. my doctor and i tried everything to get them to

cover it again, but all we got was circle talk from them. it seems as

though they scammed their way out of paying for it. we could not win.

we fought and fought. and my condition meanwhile, got worse and worse

because i could not get the drug. finally, the foundation helped me

out. their name is Genetech or Genentech. whatever, they are a

Godsend. i probably would've died if it weren't for their help.

--- In , " tlampros2000 " <tom.lampros@...>

wrote:

>

> Does anyone know of Xolair users that have gotten BCBS in Illinois to

> cover it? They won't cover it for my sister. She gets it now through

a

> foundation but she's going back to work full-time and they won't

> provide it any longer because she'll make too much money. I think

BCBS

> won't cover it becuase the respiratory test isn't bad enough but all

> other criteria is met. Any tips on getting coverage is appreciated.

> It's really been helping her. She has been on Pred for years and

every

> other med for decades.

>