Forced to do Xolair at home?

[Guest guest]

I just got a letter from The Physician Review Unit of my insurer (Blue Cross)

notifying me that:

" The clinical coordination department of Blue Cross Blue Shield of

Massachusetts, after careful review, is pleased to inform you that the request

for

services made on your behalf has been approved.

Place of Service: Home

Type of Service: Infusion therapy. "

Well, needless to say, I have not requested to have Xolair treatment at home.

While I wouldn't mind doing it at some point (because I am nearly three hours

from my doctor's office), I'm not anxious to do it right now, since I'm prone

to anaphylaxis. I've only been getting the shots for four months and would

rather have a few more successful months of treatment before doing the

injections unsupervised. My home is also at the tip of Cape Cod, which is rather

far

from any hospital.

Has anyone else had their insurance company force them to do their shots at

home?

Thanks,

Meryl

[Guest guest]

> I just got a letter from The Physician Review Unit of my insurer

(Blue Cross)

> notifying me that:

>

> " The clinical coordination department of Blue Cross Blue Shield of

> Massachusetts, after careful review, is pleased to inform you that

the request for

> services made on your behalf has been approved.

>

> Place of Service: Home

> Type of Service: Infusion therapy. "

>

> Well, needless to say, I have not requested to have Xolair

treatment at home.

> While I wouldn't mind doing it at some point (because I am nearly

three hours

> from my doctor's office), I'm not anxious to do it right now, since

I'm prone

> to anaphylaxis. I've only been getting the shots for four months

and would

> rather have a few more successful months of treatment before doing

the

> injections unsupervised. My home is also at the tip of Cape Cod,

which is rather far

> from any hospital.

>

> Has anyone else had their insurance company force them to do their

shots at

> home?

>

> Thanks,

> Meryl

>

>

>

Meryl,

I wish my doctor would let me give my xolair at home. He charges me

83.00 every two weeks just to give them and my Blue Cross out of

Penn. is OUT OF NETWORK and only pays 70%.

He wont even let me give REGULAR allergy shots at home.

This would save me the expense and his office the time it takes to

give them to me, but NOOOOOOOOOOOOOO!

Sigh

Doug

[Guest guest]

i could be wrong, but from what the xolair rep originally told me, if you have

had three or four series of shots of xolair without reactions, you are home

free. of course, there are exceptions to every rule. have you contacted BCBS and

asked them why the change? maybe your dr can petition them to allow you to

continue at the drs office?

i'm sorry they've made this decision for you. i hope you can get it straightened

out.

heather

" Rev. Doug Beasley " <uca79ii@...> wrote:

> I just got a letter from The Physician Review Unit of my insurer

(Blue Cross)

> notifying me that:

>

> " The clinical coordination department of Blue Cross Blue Shield of

> Massachusetts, after careful review, is pleased to inform you that

the request for

> services made on your behalf has been approved.

>

> Place of Service: Home

> Type of Service: Infusion therapy. "

>

> Well, needless to say, I have not requested to have Xolair

treatment at home.

> While I wouldn't mind doing it at some point (because I am nearly

three hours

> from my doctor's office), I'm not anxious to do it right now, since

I'm prone

> to anaphylaxis. I've only been getting the shots for four months

and would

> rather have a few more successful months of treatment before doing

the

> injections unsupervised. My home is also at the tip of Cape Cod,

which is rather far

> from any hospital.

>

> Has anyone else had their insurance company force them to do their

shots at

> home?

>

> Thanks,

> Meryl

>

>

>

Meryl,

I wish my doctor would let me give my xolair at home. He charges me

83.00 every two weeks just to give them and my Blue Cross out of

Penn. is OUT OF NETWORK and only pays 70%.

He wont even let me give REGULAR allergy shots at home.

This would save me the expense and his office the time it takes to

give them to me, but NOOOOOOOOOOOOOO!

Sigh

Doug

---------------------------------

[Guest guest]

I have been getting the shots for about 3 months. My nurse just asked

me if I wanted to do my shots at home. She said she had a couple of

patients she would be comfortable with doing it. I agreed to do it an

she is going to try to get the Dr to approve it. When I was first

approved the insurance co was going to make me do it at home and the

Dr fought it, insurance co gave in, now the Dr is for it, go figure.

This whole experience has been somewhat " different " , I did not know

from one day to the next what the insurance co was going to do.

Ron

On Jun 10, 2005, at 9:06 PM, msbehavior@... wrote:

> I just got a letter from The Physician Review Unit of my insurer

> (Blue Cross)

> notifying me that:

>

> " The clinical coordination department of Blue Cross Blue Shield of

> Massachusetts, after careful review, is pleased to inform you that

> the request for

> services made on your behalf has been approved.

>

> Place of Service: Home

> Type of Service: Infusion therapy. "

>

> Well, needless to say, I have not requested to have Xolair

> treatment at home.

> While I wouldn't mind doing it at some point (because I am nearly

> three hours

> from my doctor's office), I'm not anxious to do it right now, since

> I'm prone

> to anaphylaxis. I've only been getting the shots for four months

> and would

> rather have a few more successful months of treatment before doing the

> injections unsupervised. My home is also at the tip of Cape Cod,

> which is rather far

> from any hospital.

>

> Has anyone else had their insurance company force them to do their

> shots at

> home?

>

> Thanks,

> Meryl

>

>

>