MY SUGGESTION on Cialis 5mg

[Guest guest]

Hi Smiley,

I recognize that my advice is offered without knowing the particulars of your employment and your employer's medical benefits insurance coverage so, please, filter as necessary.

Many employers purchase "insurance" coverage for employee medical benefits programs that includes true insurance coverage for catastrophic claims (typically claims for a single injury or illness valued above a trigger point such as $250K or $500K) and true insurance coverage for losses above a selected annual aggregated figure. Claims costs that do not fall under the "insured" loss provisions of the coverage are paid by the employer. Employers typically pay a fee to an insurance carrier, such as Blue Cross/Blue Shield, to administer all claims that do not fall under the insured loss plan.

What this means is that your employer may very well be paying the full cost of your Rx program, including drugs for the treatment of ED following treatment for prostate cancer, as a direct company expense, even though an insurance company is managing the billing, claims handling and other administrative details.

In this sort of arrangement, which is very, very common, your employer has the authority to make exceptions and individual interpretations of its medical benefits program even after the "insurance" company has determined that a claim is not compensible/reimbursable.

Based on this, I heartily recommend that you schedule a meeting with your company's senior HR representative to discuss the particulars of your claim/case. Under the expectation of full confidentiality, be honest and detailed in the description of what you have experienced in terms of diagnosis, investigation of treatment options and treatment for prostate cancer. Point out that your request for a Rx prescribed by your treating physician for rehabilitative treatment has been denied and you are using the opportunity to meet with the HR Director to explain your unique situation and request his/her intervention with the "insurance" company. At a minimum, urgently request the HR Director to review your case with the "insurance" company and let you know ASAP the results of that review. Be prepared to provide information to the HR Director for his/her review as needed, such as a letter from your physician on the need for penile

rehabilitation following an RP and a medical release for the HR Director to discuss your claim with the "insurance" carrier if necessary.

Under the "insurance " arrangement I described above, the HR Director has the capacity to tell the "insurance" company to pay your claim.

In my case, the "insurance" company "agreed" to provide 18 doses of Cialis (20mg) or 18 doses Viagra (100mg) (or any combination of the two so as not to exceed a total of 18 doses) every 90 days for one year. The "waiver" can be reviewed/renewed on an annual basis to be determined by continued need.

Not a perfect solution, but wholly acceptable.

Best of luck...

Subject: Your thoughts on Cialis 5mgTo: ProstateCancerSupport Date: Monday, December 27, 2010, 3:34 PM

I had prostatectomy surgery on Oct. 5, 2010. (See post # 26894 for history.)My Urologist has prescribed Cialis 5mg as an aid to promote blood flow. I lobbied my insurance company to lower the co-pay with an exception for medical condition vs. "performance issue". My insurance company maintains that low dose Cialis has not been proven effective to promote blood flow. I must pay full co-pay which, for all intents and purposes, is full ammount.Question: your thoughts on whether one could be benifited by low dose Cialis in the post operative phase?Question: if Cialis is determined to be a valid modality by my brothers here, has anyone ever purchased via internet from Canadian pharmacies? They are cheaper.