Check with your doctor. Many times the doctor is able to help out in getting insurance companies to align with what the doctor feels is needed.

They told me I could only do Nexium for 6 months and my doctor told them no, it would be permanent. They finally complied with my doc. because there was a true need for it. We also had to battle for some of the meds my dad and mom needed when they were in their final years.... When there is a need and a doctor to verify the need, they will usually come into compliance but sometimes it takes a fight.

Insurance wants the cheap route. (and this is GOOD for the most part) but if one med is needed over another and they use money as the deciding factor and not the need of the patient, then this calls for the next step in action.

So talk to her doctor, have them fight for her to get what she needs and if that does not work, speak to a lawyer and ask what steps need to be taken. The attorney general's office also may be able to help if you call them - or tell you who can help at least.

Does Medicare have a patient liason number?

Be her advocate! Don't let this slide.

Thanks for looking out for her and checking on this.


Rita - Age 44
wife, mother of 4 - ages 3,16,21,24 & grandma to 1
(R upper) Maxillectomy 8/8/08 - UW / Seattle, WA.

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"Those who think by the inch and speak by the yard, should be kicked by the foot."