My son started pulmozyme about a month ago and the CF doctor/nurse filled out some paperwork from the manufacturer that gave us a free 30 day supply - apparently it is a standard thing from the manufacturer because they know alot of insurance companies give patients a runaround. I can't help you on your insurance company, but you should ask the clinic or maybe call the company about this free thing to at least get started.
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Denied Pulmozyme
- Thread starter grsswspr
- Start date
Insurance companies save money by giving patients a hard time. Most patients give up when they encounter road blocks so the insurance companies get what they want.
The key is tenacity. If you keep fighting ie: submitting more appeals, appealing to your state's medical insurance regulator, etc. etc. you'll eventually get the med. It may take time, but you'll get it. Just don't give up.
eFlow is the same way....
The key is tenacity. If you keep fighting ie: submitting more appeals, appealing to your state's medical insurance regulator, etc. etc. you'll eventually get the med. It may take time, but you'll get it. Just don't give up.
eFlow is the same way....
Insurance companies save money by giving patients a hard time. Most patients give up when they encounter road blocks so the insurance companies get what they want.
The key is tenacity. If you keep fighting ie: submitting more appeals, appealing to your state's medical insurance regulator, etc. etc. you'll eventually get the med. It may take time, but you'll get it. Just don't give up.
eFlow is the same way....
The key is tenacity. If you keep fighting ie: submitting more appeals, appealing to your state's medical insurance regulator, etc. etc. you'll eventually get the med. It may take time, but you'll get it. Just don't give up.
eFlow is the same way....
Insurance companies save money by giving patients a hard time. Most patients give up when they encounter road blocks so the insurance companies get what they want.
The key is tenacity. If you keep fighting ie: submitting more appeals, appealing to your state's medical insurance regulator, etc. etc. you'll eventually get the med. It may take time, but you'll get it. Just don't give up.
eFlow is the same way....
The key is tenacity. If you keep fighting ie: submitting more appeals, appealing to your state's medical insurance regulator, etc. etc. you'll eventually get the med. It may take time, but you'll get it. Just don't give up.
eFlow is the same way....
sweetwhite30
New member
yes i have a great idea on how to get around this with the insurance.Get the doctor to write out "A CERTIFICATE OF MEDICAL NECESSITY" and the insurance will pay..I had this same experience with my son....
sweetwhite30
New member
yes i have a great idea on how to get around this with the insurance.Get the doctor to write out "A CERTIFICATE OF MEDICAL NECESSITY" and the insurance will pay..I had this same experience with my son....
sweetwhite30
New member
yes i have a great idea on how to get around this with the insurance.Get the doctor to write out "A CERTIFICATE OF MEDICAL NECESSITY" and the insurance will pay..I had this same experience with my son....
sweetwhite30
New member
make the doc fax it to the insurance carrier too and copy it for your records always helps to have a copy...
sweetwhite30
New member
make the doc fax it to the insurance carrier too and copy it for your records always helps to have a copy...
sweetwhite30
New member
make the doc fax it to the insurance carrier too and copy it for your records always helps to have a copy...
Thanks for all of this good advice. <img src="i/expressions/face-icon-small-smile.gif" border="0"> I guess this is the same hoops we had to go through to get the insurance company to cover the cost of the vest. I thought that meds would just be a no brainer for the insurance company. I don't feel like I'm out there alone anymore. Thanks for sharing your difficulties and success stories.
Thanks for all of this good advice. <img src="i/expressions/face-icon-small-smile.gif" border="0"> I guess this is the same hoops we had to go through to get the insurance company to cover the cost of the vest. I thought that meds would just be a no brainer for the insurance company. I don't feel like I'm out there alone anymore. Thanks for sharing your difficulties and success stories.
Thanks for all of this good advice. <img src="i/expressions/face-icon-small-smile.gif" border="0"> I guess this is the same hoops we had to go through to get the insurance company to cover the cost of the vest. I thought that meds would just be a no brainer for the insurance company. I don't feel like I'm out there alone anymore. Thanks for sharing your difficulties and success stories.
Hello!
I have a 6 month old with CF and I just happen to work at Genentech which manufactures Pulmozyme. Here is a link that may help you:
http://www.pulmozyme.com/patient/3_0_services_for_patients_and_families.jsp
There is the Genentech Endowmnent for Cystic Fibrosis that is there help people access Pulmozyme.
I hope the above is helpful for you!
Holly
Mother to Maggie-Faye
I have a 6 month old with CF and I just happen to work at Genentech which manufactures Pulmozyme. Here is a link that may help you:
http://www.pulmozyme.com/patient/3_0_services_for_patients_and_families.jsp
There is the Genentech Endowmnent for Cystic Fibrosis that is there help people access Pulmozyme.
I hope the above is helpful for you!
Holly
Mother to Maggie-Faye
Hello!
I have a 6 month old with CF and I just happen to work at Genentech which manufactures Pulmozyme. Here is a link that may help you:
http://www.pulmozyme.com/patient/3_0_services_for_patients_and_families.jsp
There is the Genentech Endowmnent for Cystic Fibrosis that is there help people access Pulmozyme.
I hope the above is helpful for you!
Holly
Mother to Maggie-Faye
I have a 6 month old with CF and I just happen to work at Genentech which manufactures Pulmozyme. Here is a link that may help you:
http://www.pulmozyme.com/patient/3_0_services_for_patients_and_families.jsp
There is the Genentech Endowmnent for Cystic Fibrosis that is there help people access Pulmozyme.
I hope the above is helpful for you!
Holly
Mother to Maggie-Faye
Hello!
I have a 6 month old with CF and I just happen to work at Genentech which manufactures Pulmozyme. Here is a link that may help you:
http://www.pulmozyme.com/patient/3_0_services_for_patients_and_families.jsp
There is the Genentech Endowmnent for Cystic Fibrosis that is there help people access Pulmozyme.
I hope the above is helpful for you!
Holly
Mother to Maggie-Faye
I have a 6 month old with CF and I just happen to work at Genentech which manufactures Pulmozyme. Here is a link that may help you:
http://www.pulmozyme.com/patient/3_0_services_for_patients_and_families.jsp
There is the Genentech Endowmnent for Cystic Fibrosis that is there help people access Pulmozyme.
I hope the above is helpful for you!
Holly
Mother to Maggie-Faye
L
luke
Guest
Bruce,
In the interim go ahead and see if the doc will write for hypertonic saline, it isn't a susititue but would be considered the next best thing.
In the interim go ahead and see if the doc will write for hypertonic saline, it isn't a susititue but would be considered the next best thing.
L
luke
Guest
Bruce,
In the interim go ahead and see if the doc will write for hypertonic saline, it isn't a susititue but would be considered the next best thing.
In the interim go ahead and see if the doc will write for hypertonic saline, it isn't a susititue but would be considered the next best thing.
L
luke
Guest
Bruce,
In the interim go ahead and see if the doc will write for hypertonic saline, it isn't a susititue but would be considered the next best thing.
In the interim go ahead and see if the doc will write for hypertonic saline, it isn't a susititue but would be considered the next best thing.