... Press Telegram 6/2/15. Deals with insurance companies denials of coverage, lawsuits, and statistics on approvals. I hope I'm not out of line for posting this here. My apologizes if I'm off track, just think the more informed we are, the better off we'll all be
Very informative and exciting article,thanks so much for sharing it with us all! If this doesn't open up the health insurance companies eyes and pockets ... nothing else will. But let's not forget the research companies and the pharmacuetical companies, they too play a part in these exuberant costs as well. Thanks again!
Unfortunately the insurance companies have guidelines - in this person's case she is early along and hasn't progressed enough. Of course she is afraid of getting cirrhosis and progressing further but this is how they gauge who gets the drug and who does not. People who are on liver transplant waiting lists have to be a certain child pugh score based upon lab work, They too have to get worse to be able to qualify for a transplant. Many of us (me included( have had this disease for a zillion years,, have tried different tx, either non-responder or responder and later relapsed it is quite the journey. In fact many people didn't even know they had it, there were no tests to detect hep c before 1996(?). Lab work would come back non A, Non B, they didn't know what hep c was at all. For those have had it for 20 years before the test came out, they deteriorated without any knowledge.
I definitely feel for anyone that gets denied, or has to go down this road but the insurance companies cannot give it to everyone. Law suits may add to the cost of the drug and as we know it is quite expensive. They have to give it people per the trials and those that fit the criteria. This person is a stage 2 and can stay there for years. Know she is scared but all of us live with this fear. Nobody can determine the progression.
In my situation am a 1A Stage 5, cirrhosis, fatty liver, insulin diabetic etc etc etc and yes there is something for me, this time! The insurance companies (I guess) figure this treatment will cost less than a transplant. Sometimes things don't seem fair for many of us or justified but that's the way it is! Wish the person in the article and all of us here and on tx the best... to better days ahead for all! :)
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