Blue Cross Blue Shield Denial of 3 appeals

[Guest guest]

Since September I have been waiting for approval for Xolair and have

finally been rejected for the third time by BC/BS Illinois. I am

probably one of the most allergic people on earth and chemically

sensitive too. I am on Advair 500/50, Spiriva, Intal, Flonase,

Zaditor, Double Zyrtec and Benedryl, Sin gulair and 3.75 Pred. daily.

Because I am hypervigilant I have never had an ER trip, but avoid

exposures- so my life is very very limited.-I stay at home and wear a

huge Hepa mask when outside. My PFT is 87% because of all the meds and

BC I think is one of the only companies who use PFT below 80% as one

of the criteria-even though if I took less meds or went out more I

would would be dead -let alone having a sub-normal PFT! My doctor is

fed up with the work he has had to do. I am faced with going to the

state board of review . Anyone have any thoughts, experience with

BC/BS of Illinois, etc? Thanks!