HER2 Support Group Forums - View Single Post - HELP!!!!!! Pertuzumab denied by insurance! iN PANIC MODE AND DON'T KNOW THAT TO DO

tricia keegan · 08-30-2012, 02:53 PM

Chrisy I have a friend working for the insurance company but not this group but she sent me this message ! work for a major health insurance...a competitor of Anthem. When you say "approved", is it on their Anthem's approved drug list, or just a legal drug? Mine was not on their approved drug list, but a couple of convincing calls later my insurer allowed it. My guess is that it was not on the approved list because it was insanely expensive."

I hope your Onc can help!about a minute ago · Unlike · 1

08-30-2012, 02:53 PM	#24
tricia keegan Senior Member Join Date: Nov 2005 Location: Ireland Posts: 3,463	Re: HELP!!!!!! Pertuzumab denied by insurance! iN PANIC MODE AND DON'T KNOW THAT TO Chrisy I have a friend working for the insurance company but not this group but she sent me this message ! work for a major health insurance...a competitor of Anthem. When you say "approved", is it on their Anthem's approved drug list, or just a legal drug? Mine was not on their approved drug list, but a couple of convincing calls later my insurer allowed it. My guess is that it was not on the approved list because it was insanely expensive." I hope your Onc can help!about a minute ago · Unlike · 1 __________________ Tricia Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr Rads x 36 ..oophorectomy August '06 Currently taking Arimidex.. June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density. Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc. 2014 Normal Dexa scan 2018 Mammo all clear, still NED!