Wednesday, August 1, 2007

Med Approval!?! I think.....

Jumping through hoops was getting exhausting, so I went directly to the source. I called the Pfizer pharmaceutical company's "First Resource" Dept in California and asked them if I really needed to compile all this income verification information if there was a chance that my insurance would cover me for Sutent. After all, I reasoned to the nice lady on the phone, even though the doctor's secretary seemed quite concerned that I might not be covered and that the costs would be very very high, I do have good insurance w/ a prescription plan and this paperwork is really holding up my treatment and ______".

She said, "Well instead of you doing all this work how about I just CALL Blue Cross for you?" THANK YOU GOD!!!! She called me back in about FIVE MINUTES and said that they had already run a "test approval" and it had gone right through. BC even told her what the cost would be - only $25 for a 30 day supply, $50 for a 90 day supply by mail order!!! (this is the regular cost of my non-generic blood pressure medicine).

I was so happy I started to cry to this poor lady on the phone. I really thought all along that there was a good chance of it being covered but I have all these deadlines pressing on me this week with the homeschooling paperwork and appointments and stuff and I felt like the red tape was drowning me. I want to get the first month of side effects over with ASAP. There is still a minor step of "preapproval" which will be done by FAX to the doctor's office but I do not expect (??) that to be a problem.

So, here I am EXCITED to be starting to take anti-cancer medicine that might make me feel lousy. HMMM... a lot has changed in the last 8 weeks. :-/

Thank you for continuing to walk this road with us,
Karen

3 comments:

Anonymous said...

So, I assume there is no update re: the insurance? It has been a long 24 hours ... :)
-Danna

Anonymous said...

I praise the Lord with you. Red tape is horrifyingly discouraging, but the Lord took care of that for you! Hallelujah!

Anonymous said...

Dear Karen,

Saw your blog and wanted to respond to you. You certainly have a lot of irons in the fire and I pray that your insurance will come through for you in a timely manner and reimbursement will be fair. Hope this message finds you feeling better and that your medicine will be beneficial to you. Lean on the Lord.

Lee