We know the tumor is in a slightly different area than it was originally. He is in treatment (Temodar for the second time) for the third recurrence of his tumor. We have always been told it is in an area where surgery has not been an option. The oncologist does say he believes it is a higher grade. We think he believes it is glioblastoma but he won't say that definitely without doing another biopsy.
A month ago my husband (41) had a tumor resection of a GBM in the left temporal/frontal lobe. He is still recovering from surgery and has begun cancer treatment (temodar& radiation) a week ago. He has a previous accident injury where he has struggled with neck pain for ten years. He has been on suboxone for probably 7 years now. He is currently taking his suboxone but is not getting any relief for his head pain.
So you have submitted your receipts to the insurance company for reimbursement and they have been declined? They may be looking for a doctor to verify that you require methadone. Insurance companies can be so picky. T's need to be crossed and I's need to be dotted. It make little sense sometimes and often ends up costing them more money.
I suggest that you make an appointment with your physician and explain the situation.
visit, you get a form from your insurance company that is specifically for claims reimbursement. (You may be able to print it on line at your ins. companies web site.)
You fill out the form,then you attach your HICFA (the medical forms you have from your dr. stating the diagnosis codes, what was done, and what they charged you) and wait for reimbursement. If they are going to pay, they will. If not, wait for a denial and then appeal it if you feel it is warranted.
Ditto...what are the reasons behind the infertility, do you know?
Patient made decision to treat his anaplastic astrocytoma with surgery and Temodar only. No radiation! What is the prognosis for this 33 yr.old male.
Since the diagnosis of Glioblastoma grade 4 in August, my husband has had the tumor removed and completed the round of radiation and chemotherapy - temodar. Recently I have noticed him being very short fused and argumentative. The slightest thing sets him off as if he had been personally attack. I have also noticed depression setting in. I'm assuming this is all part of the treatment and diagnosis.
If by high deductible health plans (HDHP), you are referring to Health Savings Account (HSA) eligible HDHP, there is another way you can insure getting negotiated rates and that is by finding an HSA administrator that offers “Auto Reimbursement”. I am aware of a couple of institutions that offer Auto Reimbursement & the one that checks your claims against negotiated rates is Sterling Bank. You can learn more about Sterling Bank through the link below;
http://www.sterlingsavingsbank.
Thanks for the response!
Currently I'm not in any danger! The cancer cell is very small 1.5 cm, I'm not in any pain or have symptons. My ins will reimbursement me more money if I wait until 1/1/10. My doctor states that he feel I can wait but if there are any problems he will take me right away!
//www.healthwellfoundation.org/
Besides your financial application you will need to have your doctor fill out the statement of treatment with a diagnosis of chemo induced neutropenia.
If you would like to learn more about how the Astellas Access Program can help uninsured or underinsured patients access their needed drug therapy, please call Astellas Reimbursement Services (ARS) at 1 (800) 477-6472 to speak with a reimbursement specialist.
When calling ARS, patients will be asked to share some information that will help ARS verify their insurance coverage and determine whether they meet the eligibility criteria for the Astellas Access Program.
t meaningful to the patient, they are more for fitting into the patents for FDA approved drugs or getting reimbursement from insurance companies. Some are extremely meaningful, because they alter the treatment.
This is a labor intensive treatment for the MD with little reimbursement. I see the doc once a month for which he gets paid. I have weekly labs not at his office where feedback and medication adjustments are made, weekly by the doc with no additional reimbursement. Take the procrit, or not, neupogin or not, dose of peg this or that, riba this or that. Not to mention all the office goes through to get all the auths needed for all the meds required. There is no money in this for the docs.
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