Re: Insurance change. Re authorization process

January 8, 2009

When I told my xolair nurse about my insurance change, that as far as I could

read in the notice, I would be paying a rather hefty co-pay, and that on

retirement income, I might not be able to continue my shots, she told me not to

worry, that they had access to help for patients on xolair. It is from some

foundation. Don't ask me the name, I don't remember. I do take my shots at a

xolair research clinic, even though I am not part of the research. Also, the

person who handles all of the insurance took the information I had received and

promised to check into it for me to find out exactly what I will have to pay.

My medicare won't change....it is what the supplemental insurance has been

paying that will change.

My nurse told me they would work with the insurance and that my doctor would

fight for me if he had to.

So, Doug, I, too, wish everyone had the doctor and nurse that I have. I won't

go in for my 2009 shot until February, so I won't know for sure how much it will

cost.

From: uca79iii <uca79iii@...>

Subject: [ ] Insurance change. Re authorization process

Date: Wednesday, January 7, 2009, 8:25 PM

December 22 I told my xolair nurse that my Rx insurance was changing

January 1. I gave her my new Rx card and she took care of the rest.

I got an email today from Medco telling me that my 3 months or Xolair

is on the way and the 50.00 copay charged to my bank card.

It SHOULD be this easy for everyone but unfortunately it isn't

My doctor has 20 xolair patients so he hired one nurse to do

everything. Getting patients certified, filing the insurance,

ordering, mixing, setting appointments and giving the shots. She does

it all and quite well too.

I wish everyone in the group had such good medical professionals as my

doctor and his xolair nurse.

Doug

Group founder

January 8, 2009

I've been blessed as well, although our practice doesn't have one

nurse handling just Xolair (although they could!). I deal with the

RN for my doc who is shared by two docs. I don't know how she does

it. I have purposely worked very hard to develop a good relationship

with her (she's nice and a hard worker anyway, so it's not hard on my

part) and that has resulted in me getting very good service.

Adah, when you have time, could you get the name of the foundation

from your xolair nurse and maybe share with the group. I would

encourage folks not to contact them directly - just to make sure

their docs know about it and contact them.

Addy

>

> From: uca79iii <uca79iii@...>

> Subject: [ ] Insurance change. Re authorization process

>

> Date: Wednesday, January 7, 2009, 8:25 PM

>

> December 22 I told my xolair nurse that my Rx insurance was changing

> January 1. I gave her my new Rx card and she took care of the rest.

>

> I got an email today from Medco telling me that my 3 months or

Xolair

> is on the way and the 50.00 copay charged to my bank card.

>

> It SHOULD be this easy for everyone but unfortunately it isn't

>

> My doctor has 20 xolair patients so he hired one nurse to do

> everything. Getting patients certified, filing the insurance,

> ordering, mixing, setting appointments and giving the shots. She

does

> it all and quite well too.

>

> I wish everyone in the group had such good medical professionals as

my

> doctor and his xolair nurse.

>

> Doug

> Group founder

>

January 8, 2009

>

> From: uca79iii <uca79iii@...>

> Subject: [ ] Insurance change. Re authorization process

>

> Date: Wednesday, January 7, 2009, 8:25 PM

>

> December 22 I told my xolair nurse that my Rx insurance was changing

> January 1. I gave her my new Rx card and she took care of the rest.

>

> I got an email today from Medco telling me that my 3 months or Xolair

> is on the way and the 50.00 copay charged to my bank card.

>

> It SHOULD be this easy for everyone but unfortunately it isn't

>

> My doctor has 20 xolair patients so he hired one nurse to do

> everything. Getting patients certified, filing the insurance,

> ordering, mixing, setting appointments and giving the shots. She does

> it all and quite well too.

>

> I wish everyone in the group had such good medical professionals as my

> doctor and his xolair nurse.

>

> Doug

> Group founder

>

January 8, 2009

I will ask her, but from the way she talked, it was maybe a foundation here in

SA or maybe private help for this doctor's patients on xolair. I don't think it

was something open to the public. I'll ask though the next time I am in.

Maybe all of our Doctors or their financial person should be encouraged to

research possible foundations that could give help to people who cannot afford

the high end meds. I sometimes think that the help one gets depends on the

doctor one has.

From: pyle456 <jamcculloch2@...>

Subject: [ ] Re: Insurance change. Re authorization process

Date: Thursday, January 8, 2009, 6:23 AM