Re: Young female: OT Having a hard time

[Guest guest]

,

I sure hope your appeal gets you what you need this time.

Good luck,

Shirley

>

> Ginger and Group:

>

> I was recently diagnosed in August and I am 30. I am very active

and

> I feel your pain (literally and for being young with RA!). I was

> supposed to start Enbrel 9/3/08 and that didn't happen because of

> my " wonderful " insurance company. Due to my age, my rheumy doesn't

> want me to go on Mtx. I have been denied twice and submitted my

> written appeal today. I hope it helps! I am a paralegal with a

> great law firm and I have the backing of my firm for help if I

need

> it!

>

> The insurance company wants me to try Mtx first before they will

> cover a percentage of the cost. I know many of you have been

going

> through these insurance hoops for years - I am just learning the

> process. Before being diagnosed, I have not had any medical

> problems. I find it appalling that the insurance companies can

> dictate what they will cover, even if your doctor is not in favor

of

> their recommendation. Everything is based on $$$!!!!!

>

> I have been taking 10mg of Prednisone of the last two weeks and I

am

> doing ok. I still have some stiffness but it is better than I was

> before.

>

> The insurance company does not know who they are dealing with! I

> will do everything I can to feel 100% again. Everyone says Enbrel

> changed their life, I want my life back!! I have only been

battling

> this disease for 2 months but I want my life back!

>

> Take care everyone and I hope to report good news with my

insurance

> company soon!!

>

>

>

> >

> >

> >

> >