Thank you so much for helping.
We are in Pennsylvania. A neurologist made the perscription and insurance denied it. There was 1 first level appeal so far the doctor provided medical reports and other information, and that was denied. We are starting the next level appeal, I am learning more about this process and how it works. Meanwhile Right now we are in the hospital for an emergency related to his sfn and it is not the same system as the specialist who perscribed it.. the dr here isn't delivering it and I wasn't here to understand of it was bc of insurance or bc he didn't agree w the other dr. We are trying to coordinate them better and hopefully get the first dose here.. he needs it now.
Quote:
Originally Posted by 6thCranialNerve
What state are you in? Your physician should be the one providing your insurance company the documentation for IVIG approval. You can call and speak with the patient coordinator with the specialty pharmacy where you might get your medication and they will be a great source of how to get the medication through your insurance. Also, if you cannot afford the copay you can ask for a financial waiver from the pharmacy (where you will get your IVIG). You can ask for a specific pharmacy and you do not have to use the one the physician says. You can also have your infusion at home vs going to his office or a suite. I will try and do what I can from my end. I am getting ready to start IVIG myself. I am an infusion nurse and have given tons of IVIG to patients. I'm not that well versed on the insurance side; but I know people.
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09-23-2018, 02:57 PM
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