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Old 10-04-2011, 10:22 AM   #12
Sheila
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Join Date: Aug 2003
Location: Morris, IL
Posts: 3,507
Re: can people chime in as to what insurance companies they have and what troubles

I have BC BS of Illinois PPO through my husband, and my hospital is a PPO. I have never paid for chemo, hospital bills including surgery, or oncology visits. We do have a higher deductible this year than we have ever had, but still they have been great. They paid for mastectomy bras, prosthesis, swim suits, swim prosthesis, yearly wigs and lymphedema sleeves every 3 months. They truly have been a godsend, without having the added stress of medical bills.

Our prescription plan is not so good. Neulasta shots are rationed and sent the day I need them, as are Neupogen...they cost me 30.00 ea. Trying to get prescriptions filled is somewhat of a nightmare...this is all new since the company switched to Curascripts....we never had this problem with Caremark....although I did have a time with them getting Tykerb.

My sister has BC BS of IL PPO also and hers would not cover Cranial Prosthesis (Wigs) but she has no copay on the Neulasta. All in all, I think the insurance we have through BC BS of IL is phenomenal...considering the thousands of dollars a month that my bills add up to....I am well over the 3 million dollar mark in 10 years...truly feel blessed that my husbands insurance is so good. They told me as long as I continue to use a PPO provider, there is no lifetime maximum. Good thing, because I plan to be around for a lot longer!
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Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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