Denial of Cromolyn Sodium

Ratatosk

Administrator
Staff member
We also have no choice in terms of our insurance; however, there must be some sort of appeal process. In our case there was no alternative medication, so an exception was filed. And we're still going thru the process of appealing despite being told there are no further appeals because they haven't provided us with any information from our policy manual to document why it's been denied. Just their say so....

Is your previous doctor willing to submit documentation regarding medical necessity -- either to your insurance company or to your current doctor? We see a doctor out of our network. Do you have a social worker at your clinic who could offer some help/suggestions?
 

Ratatosk

Administrator
Staff member
We also have no choice in terms of our insurance; however, there must be some sort of appeal process. In our case there was no alternative medication, so an exception was filed. And we're still going thru the process of appealing despite being told there are no further appeals because they haven't provided us with any information from our policy manual to document why it's been denied. Just their say so....

Is your previous doctor willing to submit documentation regarding medical necessity -- either to your insurance company or to your current doctor? We see a doctor out of our network. Do you have a social worker at your clinic who could offer some help/suggestions?
 

Ratatosk

Administrator
Staff member
We also have no choice in terms of our insurance; however, there must be some sort of appeal process. In our case there was no alternative medication, so an exception was filed. And we're still going thru the process of appealing despite being told there are no further appeals because they haven't provided us with any information from our policy manual to document why it's been denied. Just their say so....

Is your previous doctor willing to submit documentation regarding medical necessity -- either to your insurance company or to your current doctor? We see a doctor out of our network. Do you have a social worker at your clinic who could offer some help/suggestions?
 

Ratatosk

Administrator
Staff member
We also have no choice in terms of our insurance; however, there must be some sort of appeal process. In our case there was no alternative medication, so an exception was filed. And we're still going thru the process of appealing despite being told there are no further appeals because they haven't provided us with any information from our policy manual to document why it's been denied. Just their say so....

Is your previous doctor willing to submit documentation regarding medical necessity -- either to your insurance company or to your current doctor? We see a doctor out of our network. Do you have a social worker at your clinic who could offer some help/suggestions?
 

Ratatosk

Administrator
Staff member
We also have no choice in terms of our insurance; however, there must be some sort of appeal process. In our case there was no alternative medication, so an exception was filed. And we're still going thru the process of appealing despite being told there are no further appeals because they haven't provided us with any information from our policy manual to document why it's been denied. Just their say so....
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<br />Is your previous doctor willing to submit documentation regarding medical necessity -- either to your insurance company or to your current doctor? We see a doctor out of our network. Do you have a social worker at your clinic who could offer some help/suggestions?
 

greatbay

New member
I went right to the makers' of Advair, website and registered my husband with them (he is the one on it for COPD)and they send me email notices when there are coupons to download for Advair and also, they will provide for receiving Advair at reduced cost if you qualify...this has helped us in our out of pocket costs.
 

greatbay

New member
I went right to the makers' of Advair, website and registered my husband with them (he is the one on it for COPD)and they send me email notices when there are coupons to download for Advair and also, they will provide for receiving Advair at reduced cost if you qualify...this has helped us in our out of pocket costs.
 

greatbay

New member
I went right to the makers' of Advair, website and registered my husband with them (he is the one on it for COPD)and they send me email notices when there are coupons to download for Advair and also, they will provide for receiving Advair at reduced cost if you qualify...this has helped us in our out of pocket costs.
 

greatbay

New member
I went right to the makers' of Advair, website and registered my husband with them (he is the one on it for COPD)and they send me email notices when there are coupons to download for Advair and also, they will provide for receiving Advair at reduced cost if you qualify...this has helped us in our out of pocket costs.
 

greatbay

New member
I went right to the makers' of Advair, website and registered my husband with them (he is the one on it for COPD)and they send me email notices when there are coupons to download for Advair and also, they will provide for receiving Advair at reduced cost if you qualify...this has helped us in our out of pocket costs.
 
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