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Cancer Support

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bmichaelh

(686 posts)
Mon Jan 6, 2020, 04:37 PM Jan 2020

My Insurer is Dysfunctional [View all]

I get my health insurance from my employer.

My health insurance provider is dysfunctional.

I just finished my sixth chemotherapy cycle using the R-CHOP protocol.
The insurer refused payment of a $46K drug rituximab as medically unnecessary.

On the other five chemotherapies, they initially refused payment for the same drug for the same reason, as medically unnecessary.
When I provided them documentation proving it was medically necessary, they paid for the drug.

I should not have to go through the process again to provide them documentation which they possess.

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