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My wife is tough!
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<blockquote data-quote="Willys46" data-source="post: 720516" data-attributes="member: 6536"><p>I hope your wife recovers quickly from the feet issues. </p><p></p><p>Just an FYI, coming from medical sales and specifically being in the very expensive medications for MS side. In dealing with the insurance companies make sure your neurologist will go to bat for you. Insurance companies have figured out that if they deny a medication or require a Prior Auth, that about half of the people and docotrs will walk away. It is a check to see if your are serious. If you fill out the prior Auth and it is denied (another tactic) have your doctors write a denial letter. If you and the doctor are willing to push it that far about 85% get approved. If it is still denied have them write a medical necessity letter and a peer to peer review. About 95% will get covered if you push that hard.</p><p></p><p>MS is one of the top two most expensive illnesses to treat and insurance companies will fight it. The medication I used to sell cost $24,000 for five days. We got coverage but it was a battle. the other issue to watch out for, but I think Obama care has taken care of, is lifetime maximums. MS patient are one of the few that could potential hit that threshold.</p><p></p><p>Good luck and keep the fight up, and if I can help with and tactics, pm me and I can try to help if possible.</p><p></p><p>Willys46</p></blockquote><p></p>
[QUOTE="Willys46, post: 720516, member: 6536"] I hope your wife recovers quickly from the feet issues. Just an FYI, coming from medical sales and specifically being in the very expensive medications for MS side. In dealing with the insurance companies make sure your neurologist will go to bat for you. Insurance companies have figured out that if they deny a medication or require a Prior Auth, that about half of the people and docotrs will walk away. It is a check to see if your are serious. If you fill out the prior Auth and it is denied (another tactic) have your doctors write a denial letter. If you and the doctor are willing to push it that far about 85% get approved. If it is still denied have them write a medical necessity letter and a peer to peer review. About 95% will get covered if you push that hard. MS is one of the top two most expensive illnesses to treat and insurance companies will fight it. The medication I used to sell cost $24,000 for five days. We got coverage but it was a battle. the other issue to watch out for, but I think Obama care has taken care of, is lifetime maximums. MS patient are one of the few that could potential hit that threshold. Good luck and keep the fight up, and if I can help with and tactics, pm me and I can try to help if possible. Willys46 [/QUOTE]
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