My meds: Hey everyone I hope all had a... - My MSAA Community

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My meds

Turtlepie profile image
14 Replies

Hey everyone I hope all had a wonderful Christmas and I wish you all a happy new year. Just got a letter from my insurance they will ot pay for the mavenclad. It's possible that my doctor didn't fill out the paperwork like she should have. Oh well now we see what is going to happen with the drug company.

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Turtlepie profile image
Turtlepie
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14 Replies
mepilot61 profile image
mepilot61

I am so sorry to hear this! I pray this gets resolved sooner, rather than later!

Turtlepie profile image
Turtlepie in reply tomepilot61

I am working on it. Talked to the drug company and they said they will be sending me my first months supply

greaterexp profile image
greaterexp

Both you and your doctor should look at appealing that decision. It seems as though many insurance companies will automatically deny expensive drugs, forcing us to appeal, sometimes many times. When my Copaxone was denied, I actually called the insurance company myself, and they said it was simply an paperwork error on the part of the doctor. Whatever it was, the medication was approved.

I hope you can work through this process quickly and can get the meds you need. Please keep us updated about your progress.

Turtlepie profile image
Turtlepie in reply togreaterexp

I am working on it. Talked to the drug company and they said they will be sending me my first months supply

greaterexp profile image
greaterexp in reply toTurtlepie

That's great news!

twooldcrows profile image
twooldcrows

sorry about that ...maybe the drug company will help you it is a try ...

Turtlepie profile image
Turtlepie in reply totwooldcrows

They are going to help. Still have to deal with an appeal with the insurance company and and then there is the paperwork with the drug company also

twooldcrows profile image
twooldcrows

just keep fighting them you are the one that makes the choice of what you want to do ...i know it is hard but i think you can do this ...just tell them about what is going on with your body and why you feel you need for this drug and isn't that what they want it to do for you....good luck but keep fighting it will happen ...trust yourself you are stronger than the disease...

Turtlepie profile image
Turtlepie in reply totwooldcrows

Thank you for the encouragement. I have called everyone that I need to to get things moving forward. The drug company said that they will send me my first months of medication and will go from there on how to proceed next month. What is going to happened next year is a guess but one day at a time

mrsmike9 profile image
mrsmike9

I hate January. Between the icky weather and fighting with insurance companies... Best of luck!

2littletime profile image
2littletime

It's pretty sad...drug companies want their products used, but patients have to fight to be able to use them. We pay our insurance premiums, we should be able to use the benefits! Doctors can usually make things happen. Praying you will be approved soon.

Turtlepie profile image
Turtlepie in reply to2littletime

Thank you.

rjoneslaw profile image
rjoneslaw

You need to appeal and file a formulary exception to get the meds. I have done that for a lot of my meds. My dr told me she was shocked how I got the insurance to pay for some of my meds because other patients couldn't get it covered.

It's all about fighting the insurance and using their policies against them.

Turtlepie profile image
Turtlepie in reply torjoneslaw

I am working on it. Thank you for this information I will do what I can to get my medication

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