Hepatitis C Support Group

Hepatitis C is a blood-borne viral disease which can cause liver inflammation, fibrosis, cirrhosis and liver cancer. The hepatitis C virus (HCV) is spread by blood-to-blood contact with an infected person's blood. Many people with HCV infection have no symptoms and are unaware of the need to seek treatment. Hepatitis C infects an estimated 150-200 million people worldwide.

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Denied

Brigid13
Brigid13
I posted this earlier, but it disappeared. I was denied for Harvoni by my Obamacare Fidelis plan. I am really bumming.
TulsaGal
TulsaGal
Can you apply for the drugs on the Gilead website?
TomrrowsHope
TomrrowsHope
I hear that is good news....get out of the paper trail and get a script yourself...go to Gilead and ask...no ..... plead for help
thatwhichremains
thatwhichremains
I can't speak to your specific situation as I don't know the details, but I did find this interesting information about what's going on in NY with HCV treatments :
NYS DURB Hearing on Harvoni Criteria Nov 20 2014 in Albany, NY
http://www.natap.org/2014/HCV/112114_02.htm

skim down to the jpg 'Summary Clinical Criteria'
those are all "ORs". Do you have any of those 'ors'? I have 2 of them-- secondary liver disease (NASH) and debilitating fatigue. Don't let the try to convince you this is a 'silent' disease. Find out exactly why they denied you. Keep pushing, and do appeal. My heart goes out to you.
The obamacare system offers several different providers and levels of coverage. As soon as you can, choose different carrier.

Best of luck
thatwhichremains
thatwhichremains
The Obamacare system is like hotels.com- you put in your information and needs, then they supply a list of carriers and policies tailored to your needs and budget. You choose your carrier and coverage just like you'd choose a room at a hotel. If your income is low, they will supplement your premiums.

I've checked out 'obamacare' websites in 2 states and they both work exactly the same way.
Brigid13
Brigid13
THanks everyone. Thatwhich, the citeria are helpful, but I can see why they denied me. Despite having it for 30 years, I feel ok and tested F2 by fibrosure and F1 by Fibroscan. Maybe I can plead "fatigue."