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Muguard-"NOT MEDICALLY NECESSARY!"

sassysrice
sassysrice CSN Member Posts: 117
in Head and Neck Cancer #1

Our health insurance denied covering the muguard because they said it was not medically necessary. If I wa a mean spirited person I would like that clinical pharmadist who  made that decission find out one day what is like having your mouth and throat nuked. I sure than it would be "medically necessary" At least the cancer center has supplied us with it anyway

Sue

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Comments

  • phrannie51
    phrannie51 CSN Member Posts: 4,716
    #2
    Sassy....just contact the MuGard company

    online....or have your Onc prescribe it.  They will call you and dicker and deal with you.  They told me it was $358 for it....when I gasped, they dropped the price to $100.  Another person on here told me I should have gasped twice like he did....he only paid $50 for  6 bottles.  MuGard is really only expensive for the insurance companies....cuz they pay the full price.  So far I haven't heard of anybody having to do that here.

    p

    http://www.mugard.com/contact-us/

    PS...I LOVE LOVE LOVE your pup avitar....I have had a life long affair with the German Shepherd breed....they are the BEST!!!

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  • katenorwood
    katenorwood CSN Member Posts: 1,912
    #3
    JERKS !

    Sue,

    My insurance company did the same thing !  Talk w/your oncology nurse....sometimes they have the stuff to hand out.  I used the stuff regularly and it didn't really help.  I ended up w/crappy side effects and hospitalized.  Other's have benefitted from it's use.  There are some people in the world that just have NO...zip...nadda bed side manners.  I wonder how they get along with themselves....but in the end they will have to answer to a higher power.  Good luck, let us know if you get this resolved !   Katie

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  • jcortney
    jcortney CSN Member Posts: 503
    #4
    United Healthcare

    Covered mine but there was going to be a $100 copay.  Told the company guy I couldn't afford it and they waived it.  

    I actually like the stuff.  It lasts longer than miracle mouthwash.

     

    Joe Cortney

    Dallas, TX

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  • Laralyn
    Laralyn CSN Member Posts: 532
    #5
    About to say what everyone else said...

    ...but they already said it! Mugard is trying to get the word out, I think, and I'm glad because I think it makes a big difference! I should look into ways to petition insurance firms to change their position on it.

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  • CivilMatt
    CivilMatt CSN Member Posts: 4,725 Member
    #6
    insurance

    Sue,

     

    Insurance did not cover my Magic Mouth Wash, but the formula they use in Oregon is so good I am surprised the rest of the country doesn’t know about it (Matt is biased).

     

    Never tried the Muguard, but I know Phrannie liked it and had good luck.  As for the miracle mouthwash, never heard of it, I can’t comment on something I know nothing about.

     

    Best,

     

    Matt

     

    Like the dog.

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  • sassysrice
    sassysrice CSN Member Posts: 117
    #7
    CivilMatt said:

    insurance

    Sue,

     

    Insurance did not cover my Magic Mouth Wash, but the formula they use in Oregon is so good I am surprised the rest of the country doesn’t know about it (Matt is biased).

     

    Never tried the Muguard, but I know Phrannie liked it and had good luck.  As for the miracle mouthwash, never heard of it, I can’t comment on something I know nothing about.

     

    Best,

     

    Matt

     

    Like the dog.

    Mass. sucks

    Here is MA insurance is very picky. The hospital is great though, they will give all that we need.

    Thanks, I need to put a newer pic of her, she's changed a lot in 3 months

    Sue

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