Lupron Injections

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Galsal
Galsal Member Posts: 1,886
edited June 2014 in Employment, Insurance, and Other Financial Issues

Good grief!  Why insurance doesn't cover this is beyond me.  UHC told me the Dr can appeal it, based on case circumstances.  Seriously?  I want to undergo an expensive injection on the chance it might get approved on appeal? 

I mean, we're not using it for Fertility treatment as it can be used.  I'm using it because I can't take Tamoxifen and was on the line of being menopausal so have to taken an AI instead.  Tests for several years said I am but the body wasn't recognizing that, still having cycles every few months for the past several years.

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  • TarheelMichelle
    TarheelMichelle Member Posts: 871
    edited May 2013

    I know all UHC policies are different but mine covered Lupron. There are different levels of appeal I have learned. One is pretty simple and your doc does all the paperwork filing. Took 48 hrs for approval. Sorry you are having to battle. I empathize.

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  • Galsal
    Galsal Member Posts: 1,886
    edited May 2013

    Thanks.  I'm planning ahead for the next one.  Recently started seeing an Oncologist outside of the VA system.  It was a great surprise to hear about this.  I'm used to it just being done by the VA, regardless whether or not my insurance pays some thing.

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  • ibcmets
    ibcmets Member Posts: 4,286
    edited May 2013

    I have UHC and I've been on Lupron for 2 years.  It was never refused.

    Terri

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  • Galsal
    Galsal Member Posts: 1,886
    edited May 2013

    Interesting, very.  It may well be the difference in plans, etc.  I'll ask Onc's office how they handle that.

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