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Old 11-12-2008, 10:14 PM   #1
Henny
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Join Date: May 2008
Location: Oregon
Posts: 110
I had the first Zometa infusion a couple weeks ago. I've been off herceptin for 3 months after one year on it. I was thinking that we would have to mention that I was osteopenic but the office said to hold that card until they deny the claim and use for an appeal.

Today I got the letter from my insurance company. The list price was $2128 but the provider had to adjust it to $1205 and the insurance paid the total amount. I own nothing! I was flabbergasted. So I guess you never know until you try

Henny
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Henny
Dx 3/07 IDC and DCIS Her2+ ER- PR-
Stage IIb 1/15 nodes
A/C, Taxol, Herceptin
Bilateral mastectomies with recon
Zometa 2/yr for 3 yrs- finished 8/2011
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Old 11-13-2008, 09:44 AM   #2
Vic
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Join Date: Aug 2007
Location: Newport Beach, CA
Posts: 161
Thanks for the feedback

Hi Sassy and Henny,

I really appreciate the feedback on the cost and timing! I was shown to have osteopenia a number of years ago, but my recent bone density scans have been good, for which I'm fortunate.

The nurse said she would submit it to my insurance, but nine times out of 10, she said they deny it, and I can always talk about a discount for a cash-out situation. I'll keep you posted on how things go and thanks again.

Vicki Z
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Diagnosed 12/03 at age 53
1.5cm tumor, ER-PR-, Her2 3+(rt side)
Stage 1B, Three negative nodes from Sentinel Node Biopsy
Paget's of the nipple, Infiltrating Ductal Carcinoma and DCIS of the rt breast
Bloom-Richardson score 8/9, P53+ 60-70%, Ki-67+ 30-40%
Skin-sparing mastectomy with immediate lat-flap reconstruction and saline implants, 1/04
Chemo: FAC, five sessions every three weeks Feb.-May 04, then switched to HTC weekly for 12 weeks, June-Aug 04
Zometa every 6 months for osteopenia, started April 09
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