Finally.............Finally...........Finally approved (after 3 denials) for Epclusa/Riba for 24 weeks ! What a fight to get approved after the 12 week Harvoni failure. Funny thing I was clear on...
It is indeed the basis for denial ! Unfortunately I believe all the Hep C meds are in part a NS5A inhibitor which leaves me untreated with Stage 4 Cirrhosis. Has anybody had positive results with a...
I am at wits end and in desperate need of help with working with Allegiance/\Cigna which continually denies the medication to treat my life threatening illness. We have Allegiance\Cigna managing the...
Thanks getcured . You have mail. Dennis...
My test came back bad news ....Q80K polymorphism and N5SA resistant. So here I sit waiting with Cirrhosis for so type of new meds. The Doc said he was calling U of Washington to see what is available...
Allegiance called stated they believe the resistant testing will be covered according to our health plan. Well I'll least get that done and hope they pay for it. I think that would strengthen my...
Well my appeal was denied again ! The denial letter states they are not an insurance company but a third party administrator for claim processing of services for self funded plans (Employer and...
Thanks getcured, i also found that info yesterday and I'm going to submit this with my appeal letter:::: Recommendation for re-treatment for genotypes 1a from the American Association for the Study...
Well my Insurance company denied both the Resistance testing and the retreatment of Harvoni. To appeal I must write a letter to urge medical necessary. Hmmm...I don't really know where to start with...
Well I got the denial letter for 24 weeks retreatment of Harvoni but as of yet have heard if they will grant me the resistance test. The letter states: "Based on medical records submitted and medical...
Got the word from Cigna Pharmacy that my insurance denied another round of Harvoni. I've not relieved the official letter of denial yet stating the reasoning. I called the Dr and was told they were...
Just to keep folks updated I notified my Hep Doc on the latest guidelines for relapse with Harvoni. He stated my progression and reaction to the treatment was good until several weeks after EOT thus...
Not good news at all ! http://blogs.wsj.com/pharmalot/2015/07/16/gilead-limits-enrollment-in-its-hep-c-patient-program-to-pressure-insurers/ MOD ML: I added the code to make this a hot link....
Where I live is pretty out of the way, no transplant centers and only one hep doc in the state. I'm geno type 1A with C4 so I would be cautious to enroll in anything experimental that might lead to...
Nothing new from Doctors office or insurance. When I called Friday they sounded pessimistic about the Insurance Company approving a 24 week re-treatment with Harvoni/Ribavirin. I was C4 and...
Havent heard anything and called the Docs office bad news relapse. They are filling out the paperwork for insurance for 24 weeks and noted they didnt know if my insurance would cover a retreatment...
Still no confirmation on my blood work. My Dr was in the room during my blood draw yesterday and said one step at a time and if indeed a relapse that we will go with re-treatment of 24 weeks with...
Don't know the numbers prior without looking through a lot of paper work .but during Harvoni tx they were way lower according to the hep doc. Just came back from the blood draw so soon it should be...
I ended tx 7/6 2 weeks earlier I was UD. Routine blood test for my physical today gave numbers of AST 156 ALT at 302. Called my hep Dr today he states Hep c likely returned as I have cirrhosis. He...
Also this is interesting about Benadryl : Source: NIH/National Institute of Diabetes and Digestive and Kidney Diseases April 11, 2015 Cheap Antihistamine Combats Hepatitis C in Mice An inexpensive...
Ive heard some negatives about Ambien. I seen my Hep Doctor told him I had trouble sleeping and tried Melatonin but didn't help I asked him about Benadryl he said it would be fine to take so Ive been...
Ast........37 Alt...........40 Bilirubin just a small percent over normal....
Feeling ok some aches and pains sleeping not so good other then that no other sides if those are indeed sides. Gained 2 or 3 pounds more hungry then normal. One must consider though I work out daily...
Congrats !...
Lab reports still detected @ 5 weeks. Nurse said count was less then 15 whatever that means and told me that was very good. Hmmmm. Dennis :confused:...
I got my first bottle today and nervous about starting if the insurance ends which is my head playing games. I read where one guy collected the whole 12 supply before starting with similar fears I...
Looks like Cobra is 800.00 a month with 6,000.00 deductible. Lets see with a estimated potential income of 2.5K monthly............ya looks like that wouldn't be an option. And that covers only...
I have some anxiety about this. How if one losses their job or Insurance midway through treatment on Harvoni ? Is one pretty much done for at that point or will the support path help? Dennis :shocked:...
For anybody interested in what can or cannot be taken with Harvoni all the supplements i listed are fine with the exception of Milk Thistle Dr said no herbal stuff at all. By the way BCAA stops...
Well got the call from the specialty pharmacy. They asked when to deliver the meds , I said asap please. So it will be here tomorrow morning. I exercise and eat clean don't drink but have had an...
Just got a call from Doctors office Harvoni has been approved for 12 weeks. Is that normal with cirrhosis i've never been treated for hep C before. Also they said the insurance company would help...
I know it really makes me mad considering the Doctor said more then likely got infected by JetGun Vaccinations at time of enlistment. Check it out http://www.hcvets.com/. I'm in the process of filing...
Annual Income Threshold exceeds by a couple thousand dollars ( My wife still is working full time) they include all gross household income. So no VA care even with copays...not all veterans get...
ppm guy...wow great news ! What stage was you at? At stage 4 if Harvoni gets approved and I clear I'm hoping for some improvement with my cirrhosis. Dennis...
Themiz thanks for the info, I pray your husband gets called soon for a transplant. LAsurvivor, I applied for VA Health Care and with my wifes income and my SSI I exceed the income threshold which is...
My denial was prior to the biopsy. The biopsy stating stage 4 cirrhosis. The Dr feels I should not have any trouble for approval now as the denial was based on lack of evidence on the condition of my...
Thanks for the support. I'm still not feeling like my old self after yesterdays news. Frankly I'm really worried about this but have not let on to the wife how much I am. She said stay the course...
Diagnosed with hep C 1a about 12 years ago. it is believed I contracted it through air gun immunizations and the lack of sterilization in 1970 while serving in the US Air Force. I have been waiting...