• Has anyone had issues with their insurance denying thyrogen?

    Asked by bigjan on Wednesday, May 22, 2013

    Has anyone had issues with their insurance denying thyrogen?

    2 Answers from the Community

    • BuckeyeShelby's Avatar

      I've never dealt w/thyrogen, but I work in the insurance industry. Every insurance company has an appeal process. I'd suggest giving your carrier a call and asking how to file an appeal. Usually it involves writing a letter -- I'd also suggest getting a letter from your doctor explaining why this treatment is necessary; you may also need some medical records to support the doctor's position. If the customer service rep gets nasty when you call, ask for a supervisor -- those reps have no vested interest in whether your appeal is granted or not. I hope this information is helpful. Good luck.

      over 3 years ago
    • Tracy's Avatar

      As Shelby suggested Appeal this decision! Thyrogen is expensive and can be hard to find but will improve your treatment! The times I have had it, it has been covered. The last time was last year for testing and it was hard to find.
      It means that you don't have to go through a period of iodine free diet before you have the treatment - the radioactive iodine will attach better to the thyroid cells.
      It is 2 shots in a week before your treatment (or scan in my case now) this clears your system to make the iodine work better. I did see a coupon on line for 75% off the purchase price but 5 years ago it was about $2,000 per shot and its harder to find now. With insurance companies = always APPEAL!! Good luck, Tracy

      over 3 years ago

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