Help with Medical Insurance Approval

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Help with Medical Insurance Approval

Postby larryob98 » Fri Sep 20, 2013 6:08 am

My daughter was diagnosed with MS in May, but has been unable to get on a treatment program. Because of the severity of the attack and the location of the lesions on her spine, three different MS doctors have recommended an aggressive treatment program of either Tysabri or Tecfidera. Because we could not find good information on the risks of Tysabri, she chose Tecfidera, but her medical insurance will not approve Tecfidera as an initial form of treatment. Does this mean that the more severe your attack, the less likely you are to get on a treatment program? Meanwhile her symptoms are getting worse. Would it be faster to just go on Avonex, wait until she gets even worse to prove that it is not effective enough, and then go try again? Does anyone have any suggestions for getting help?
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Re: Help with Medical Insurance Approval

Postby DougL » Fri Sep 20, 2013 6:14 am

larryob98 wrote:Does this mean that the more severe your attack, the less likely you are to get on a treatment program?


i do not think this is true.

just a guess but i think Tecfidera is new and maybe that is why they won't approve it for her.

you can find info on Tysabri here at TIMS.

sorry to hear about your daughter. best of luck in the future.
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Re: Help with Medical Insurance Approval

Postby want2bike » Sun Sep 22, 2013 6:41 am

Check out the study done in England concerning these drugs. Best to check out the diet section on this web site. Dr. Bergman tells us how to treat autoimmune disease.

http://www.youtube.com/watch?v=GJyQTTZr ... _embedded#!

http://www.youtube.com/watch?v=zGmyUppmt-g
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Re: Help with Medical Insurance Approval

Postby Loriyas » Sat Oct 19, 2013 12:48 pm

Contact Biogen Idec for help with providing Tecfidera for your daughter. They have programs for those whose insurance will not cover it.
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