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Sharon,

I have a suggestion that may speed up the process of getting you some help with

this. Ask your employer to contact the insurance company and approve your

mappings with the audiologist. The insurance company is being paid by your

employee and they will usually do as the employer asks.

I'm sorry you are having these problems.

Alice

Does anyone else have this insurance company? Does it pay for mappings? It is

a PPO network.

I will update later and hope I do not have to change audi's. I hate this. This

waiting is killling me. Thanks for letting me vent.

Sharon Myers

Bilateral (and need a mapping)

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Sharon-- Hooray!!! I am so delighted that all worked out for you. Have fun

with your mapping now.

--

Snoopy

left implant 3G 7/19/02

right implant 3G 5/15/03

Bilateral and loving it!!

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  • 3 years later...

Hi, I'm in upstate NY and just switched my Medicare to MVP gold. The

rep told me the Xolair would be covered, and I would only have to pay

total of $30 a month ($15 for inj/$15 for office visit). Since it is

professionally administered, it includes the serum. Of course I

switched to this plan, still sounds too good to be true. Are there

any users in upstate NY that can confirm this?

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I just started xolair again had some trouble prior . Anyhow Xolair is covered in

full by Medicare I believe under other chemo drug category. Yes it could be

true but I have Preffered Care Gold and only pay 20 a month for a copay.

----- Original Message -----

From: JoyCarol and

Sent: Wednesday, January 02, 2008 8:54 AM

Subject: [ ] New Insurance

Hi, I'm in upstate NY and just switched my Medicare to MVP gold. The

rep told me the Xolair would be covered, and I would only have to pay

total of $30 a month ($15 for inj/$15 for office visit). Since it is

professionally administered, it includes the serum. Of course I

switched to this plan, still sounds too good to be true. Are there

any users in upstate NY that can confirm this?

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Hi!

I'm " upstate " in the Hudson valley. When I first

went on Xolair back in 2005, I had MVP. My husband is

a former IBM'er who was laid off and we switched

insurances NUMEROUS times in the last few years due to

job re locations/insurance plan switches. It was the

easiest insurance I have had to deal with!!!! We've

dealt with Cigna and BC/BS re:Xolair and both had

been a bit difficult to deal with regards to me

getting Xolair.

If I remember correctly,the pharmacy I dealt with was

Cura Script and they charged me $15 per month co-pay

for my injection " equipment " , which included 4 vials

of Xolair,4 vials of saline, 4 syringes, 4-18 Gage

needles, 4-25 Gage needles, band aids,alcohol swabs

and a sharps container!!

I went to my doc's for injections, every two weeks for

the first 6 months. I then started self injecting,

before the FDA changed the rules. I only had to pay

a $15 doctors visit co-pay if he actually saw me.At

first his nurse did the injections,then I started

injecting under her observation, so there was no

office co-pay! I think that last bit may depend on

the specific doctors office policy re:co-pays.

Good luck with your " transition " !!

K

ps...where abouts are you in " upstate? "

--- JoyCarol and <jclutterbuster@...>

wrote:

> Hi, I'm in upstate NY and just switched my Medicare

> to MVP gold. The

> rep told me the Xolair would be covered, and I would

> only have to pay

> total of $30 a month ($15 for inj/$15 for office

> visit). Since it is

> professionally administered, it includes the serum.

> Of course I

> switched to this plan, still sounds too good to be

> true. Are there

> any users in upstate NY that can confirm this?

>

>

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