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Old 01-29-2014, 03:57 PM   #1
PatE
Senior Member
 
Join Date: May 2010
Posts: 41
Help-Advice needed to get Ins To pay for Projeta

Hi everyone
I'm having a really bad time, saw Onc yesterday to review PET. She walked in and said its horrible much much than she expected. I am lighting up in many places including 2 spots on liver.
I finished 4 doses of Kadcyla and the cancer grew like wildfire during that time. The new plan is Taxol, Herception and Perjeta. The financial person said Aetna would pay and then called back and said she thinks it's going to be a problem, how cruel!
Anyone have any insight as to how I might get this approved, when I asked the Onc how long I would have with no treatment she said weeks to.3 months. I'm terrified to say the least .... Any advice is appreciated.
Pat
I also have Blue Cross of CA as secondary ins
__________________
Oct 07 - Dx PR+/ER+/HER2
Jan 08 - Double mastectomy
Feb 08 - Pet Scan showed liver met
Mar 08 - Started chemo A/T
Aug 08 - Herceptin
Aug 08 - Cyberknife treatment to liver met
Apr 10 - Bone scan showed met on spine L2
May10 - Cyberknife treatment to spine L2
added Zometa quarterly
Jan 12 - Pet scan show mets in lymph nodes
in rib cage area, one near panaceas. Add Tykerb
Nov 12 - New primary colon cancer, not breast met
Dec 12 - Surgery for colon cancer stage II no node involvement. No chemo. Added Leterzole
Continue weekly Herceptin/Zometa/Letrozole
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