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Re: Insurance help

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when insurance stopped paying for Diovan, the doc put me on Altace

i started complaining about some other symptom -- maybe a cough -- right now i forget

i think it was pulmonary who said the symptom was from the Altace,

so the doc submitted a special form to the insurance company stating what happened with the Altace and they agreed to re instate the Diovan (for high blood pressure)

Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania

Donate Life Listed 1/09 Inactive 4/09

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Subject: Insurance helpTo: Breathe-Support Date: Monday, November 9, 2009, 9:10 AM

3-4 weeks ago I had another right heart cath done and the doctor confirmed class III/IV PAH. He prescribed Revitio but Humana has shot that done repeatedlyHumana wants him to use calcium channel blockers but the doc feels that Revitio is the best route for me. Have filed the appeals but anyone have any differant ideastony

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Tony

You just have to get your doctor heavily involved in fighting for you

with Humana. He needs to talk to them. I know Humana is pushing a step

therapy kind of attempt and using the blockers first. But, you're to the

point that is beyond that being a wise move in your doctor's opinion and

generally they wouldn't be prescribed at your level. I don't know what

your pressure was on the cath. But Revatio and Tracleer are the norms at

a class III or IV PH. Tell your doctor you need his help. He can help

you in the fight if you can enlist him to do so.

>

> 3-4 weeks ago I had another right heart cath done and the doctor

confirmed class III/IV PAH. He prescribed Revitio but Humana has shot

that done repeatedly

>

> Humana wants him to use calcium channel blockers but the doc feels

that Revitio is the best route for me. Have filed the appeals but anyone

have any differant ideas

>

> tony

>

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I got a pretty good doc, he has been and still is going head to head with humana

> >

> > 3-4 weeks ago I had another right heart cath done and the doctor

> confirmed class III/IV PAH. He prescribed Revitio but Humana has shot

> that done repeatedly

> >

> > Humana wants him to use calcium channel blockers but the doc feels

> that Revitio is the best route for me. Have filed the appeals but anyone

> have any differant ideas

> >

> > tony

> >

>

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