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Coverage Restrictions for Hepatitis C Drugs

October 22, 2015

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Find out three common policies that insurance companies generally use to limit access for Hepatitis C patients to direct-acting antivirals.

How insurance providers deny hepatitis C patients lifesaving drugs

October 16, 2015

by Sony Salzman

Doctors say up to 80 percent of patients are denied expensive but effective drugs like Harvoni.

Amber Rojas was almost eight months pregnant when she learned she had hepatitis C. After her daughter was born on Dec. 23, 2014, Rojas had hoped to start treatment with a newly approved, highly effective drug called Harvoni.

Continue reading this entire article:
http://america.aljazeera.com/articles/2015/10/16/insurance-providers-deny-hepatitis-drugs.html

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  • Meda B. Lindley

    I am currently fighting my insurance provider who is denying my claim for Solvadi and Ribivarian combo drug treatment because I tested positive for marijuana. I never did use drugs and started smoking marijuana to help me eat and sleep and cope with my disease not knowing that this would be the very reason insurance is denying me treatment for 6 to 9 months. This is because I already have cirrhosis and they say it will take at least 3 months to get the marijuana out of my system and I have to be drug free for six months. I am already working a plan B to travel to India for 3 months to be treated for I fear continuing permanent damage to my liver and other complications and treatment in the US is too expensive without the help of my insurance. I do not believe this is fair and is a breach of my insurance contract which does not disclose this “drug free policy”. I am appealing the decision now and intend on filing a law suit after that because I do not think they should be able to legally collect my premiums, fail to disclose this policy and then use that policy to prevent me access to this life saving medication treatment. Has anybody else been denied treatment because of a non disclosed drug policy?

    • MindFury

      You should file one. I was about to sue New mexico for their “guidelines for treatment”. They wanted to wait until i had cirrohsis to treat me. I hope things have turned around for you.

  • Orewele Goodluck

    Just wanna express my moment of joy for been cured from the deadly HEPATITIS B..
    i have been infected with the Disease over 3 years and already lost hope cos i have already tried so many ANTI VIRAL treatment…. one day while making more research online, i came across a tesimony of a patients Dr Lamano cured from GENITAL HERPES. and i decided to give the said DR a call cos he information was online too..
    We both talked and he agreed on helping me out… He prepared the CURE in portion and requires my Home Address for the D.H.L to deliver the medicine to me and i recieved the Portion after 4 Working Days….
    The cure was prepared from Herbs and he instructed me on how to take it…
    well, henced im cured now i decided to write a review on this so others with similar issues can also give a trial.
    his email is [email protected] or call him on +2349054870144
    //

  • MindFury

    If they tell you you do not meet protocols. Sue them. Medicaid had “guidelines” for treatment, but they were illegal. The drug manufacturer has no such criteria only that you meet the genotype requirement. All the state medicaid offices have changed their illegal criteria due to fear of class action lawsuit.

  • trotter

    There’s been a few states that got sued, and now anyone that has Medicaid (state ins.) gets treatment.
    If u feel good enough, find a lawyer that helps for free or reduced fee and get more people to give stories of their hardships. All of us need to help all across the country.
    Just remember, YOU ARE NOT ALONE!