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Esophogeal/gastric CA and Herceptin

tdicor
Posts: 2
Joined: Nov 2009

Does anyone know what information would help in convincing an insurance company to approve payment to use Herceptin for esophogeal CA? It is too expensive for anyone but the ultra wealthy to afford w/o insurance. I have the marker and would like to give it a try. Thanks.

JaneE2366's picture
JaneE2366
Posts: 332
Joined: Jul 2009

Our dr's office actually applied to a foundation (I believe it was the drug company's foundation) for us....unfortunately we were turned down. So our dr got it approved by our insurance co....he didn't get into a lot of detail but it had to do with the diagnosis. I am sorry but that is all the info I have. My husband had his first treatment 2 weeks ago....he will continue to have them every 3 weeks. I think each treatment is over $10,000. Don't know who they think has that kind of money. If I can find out anything else, I will be sure to post it. Good luck to you.
Jane

tdicor
Posts: 2
Joined: Nov 2009

Thanks for responding

JaneE2366's picture
JaneE2366
Posts: 332
Joined: Jul 2009

Turns out our insurance co is not paying for the treatments. Now the dr's office is going back to the drug company's foundation. We go for the 3rd treatment this week....I guess we will find out more then.
Jane

aunti_m's picture
aunti_m
Posts: 42
Joined: Oct 2009

Thanks to this wonderful website, I wouldn't have known about Herceptin. My doc thought it was only used for breast cancer until I brought it up to him and he did a quick look into it. He is also going to go through the drug manufacturer to get it paid for also said insurance won't pay for it because it's still experimental for EC. Good luck to you sounds like a great drug with no side effects.

JaneE2366's picture
JaneE2366
Posts: 332
Joined: Jul 2009

Aunti_m
Thank you! Charlie has his 3rd treatment this coming Thursday.....I just hope the foundation has OK'd it. Dr's office said not to worry about it...they would make it happen.
Stay strong,
Jane

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