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Old 09-12-2005, 01:16 PM   #10
mts
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Hi Prayer:

Your case sounds extremely similar to mine-
I completed my dose dense AC + T (4 rounds of AC every 2 weeks and then 4 rounds of T every 2 weeks). I could not find anyone to give me Herceptin. Once the ASCO conference was complete, I then was able to receive Herceptin. I had to go to another oncologist for the Herceptin because the one that gave me chemo kept telling me that my ins would not pay. I did not believe him without any paper evidence from my insurance company. Turns out my ins does pay!
If your onc is within your insurance network and since herceptin is FDA approved, more than likely it will pay.
Get on the phone and talk to your carrier- most of them will inform you on the phone whether or not you are covered. Herceptin is no longer "experimental". It is FDA approved. Most insurances look at whether the drug is FDA approved for payment regardless of your Stage.
Otherwise find a doc who will give it to you and is still be in your network...
What kind of insurance do you have? Mine is BC/BS of Fla.

Maria
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