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

Paula O · 08-28-2012, 07:15 PM

Boy, this is rough stuff, Chrisy. My heart goes out to you. I did have to fight a couple crazy insurance denials (much less of a big deal than yours--just a pain to do when they were dening items covered by my plan) with a different Blue Cross/Shield that did work out for them to pay afterall with Dr documentation and an appeal process.

Tomorrow morning first thing how about you or a family member giving Blue Cross a call and get the ball rolling ASAP. You might be assigned a nurse case manager (or acquire one) who can help expidite this. I don't have one but some people find them helpful and I think you can request one when you have cancer. Does your oncologist's office have advice or know next needed step on their part and yours? I wonder if the drug company itself has help for those without insurance coverage?

Sending hugs and prayers your way,

Paula

You are right about the breathing. Maybe a walk in the fresh air will help with that--exercise can help us to think with greater clarity when under stress too.

08-28-2012, 07:15 PM	#3
Paula O Senior Member Join Date: Jul 2011 Posts: 954	Re: HELP!!!!!! Pertuzumab denied by insurance! iN PANIC MODE AND DON'T KNOW THAT TO Boy, this is rough stuff, Chrisy. My heart goes out to you. I did have to fight a couple crazy insurance denials (much less of a big deal than yours--just a pain to do when they were dening items covered by my plan) with a different Blue Cross/Shield that did work out for them to pay afterall with Dr documentation and an appeal process. Tomorrow morning first thing how about you or a family member giving Blue Cross a call and get the ball rolling ASAP. You might be assigned a nurse case manager (or acquire one) who can help expidite this. I don't have one but some people find them helpful and I think you can request one when you have cancer. Does your oncologist's office have advice or know next needed step on their part and yours? I wonder if the drug company itself has help for those without insurance coverage? Sending hugs and prayers your way, Paula You are right about the breathing. Maybe a walk in the fresh air will help with that--exercise can help us to think with greater clarity when under stress too.