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

Lori R · 08-30-2012, 06:22 PM

Chris,
Another thought, just to double check. I was initially denied when I tried to see if Herceptin + Tykerb would work. I called for a couple of days and just couldn't get traction. Neither could my Dr.

I was still working (which I think you are), so I walked into HR and said I needed their help immediately to get a direct contact and help me work this through the process. It was only when my company got involved that I felt like someone even noticed my faxes. (I had images of a fax machine just feeding into a trash can).

Just a thought.....Lori

08-30-2012, 06:22 PM	#26
Lori R Senior Member Join Date: Jan 2008 Location: Evergreen, Colorado Posts: 454	Re: HELP!!!!!! Pertuzumab denied by insurance! iN PANIC MODE AND DON'T KNOW THAT TO Chris, Another thought, just to double check. I was initially denied when I tried to see if Herceptin + Tykerb would work. I called for a couple of days and just couldn't get traction. Neither could my Dr. I was still working (which I think you are), so I walked into HR and said I needed their help immediately to get a direct contact and help me work this through the process. It was only when my company got involved that I felt like someone even noticed my faxes. (I had images of a fax machine just feeding into a trash can). Just a thought.....Lori __________________ 2007 Oct - Diagnosed - Stage IV 5 c.m. IDC - Left Side er/pr- Her2+++ Node + 2/14 - Single Liver Met Double Mastectomy Nov - Begin T+H 2008 Feb-Complete 6 cycles- T&H- NED March - Continue - Herceptin Only April - Rads for 6 weeks 2009 Continue Herceptin - Continue NED April - Recurrance- 3 cm. Liver Met May - Cryosurgery June - November - Abraxane + Herceptin Aug - PET/CT - CTC = 0 Back to NED 2010 January - Continue NED July - Recurrance - 3 cm Liver Met CTC=1 August - Cryosurgery #2 August - November Navelbine November - Back to NED - End Navelbine 2011 Feb - Recur - 4 cm Liver Met - Same Left Lobe March Surgery it is -Couldn't get a clean margin July - Confirmed continued liver involvement August - Begin Herceptin + Tykerb October - Mixed results from H+T Add Abraxane + H + T - Nov - April 2012 January PET Scan - It's working!! April - Back to NED July - Recurrance August - Begin TDM-1 Trial (Taxol + TDM-1)