Yea what Socks said also
lawyer has to be cheaper than the Hospital Bill and the stress whoooo
I would do Like socks said.
And I am going to do that also.

Thanks Socks

Frank (aka) "stew"

Oxford

_________________________________

"Take a little 5FU, leucovorin and oxaliplatin for thy stomach's sake." -- 1 Timothy 5:23 (adapted)

Most commercial insurance companies are accredited by NCQA. They have
a website which you can tell if your insurance company participates.
You should also call customer services ( they should provide you with
a 800 number on the back of your card) ask them for a copy "evidence
of Coverage Booklet" this will go in detail what services are covered.
The insurance company may also have a web site that you can access.
Read the your coverage, there maybe a clause that experimental or
clinical trials are not covered. If you needed prior approval, I would
also check to see who's respondsible for obtaining the approval you or
the hospital where you got your chemo. If it is your responsibility
you need to call customer service and ask in writing why the denial
happened. Then you need to ask customer service how you file an
appeal. Then you may want to speak to a lawyer. If your insurance
company is a NCQA accredited they have to respond to an appeal in
defined time frame AND if they deny it AND your request a second level
appeal the case will be reviewed by an outside physician ( one not
employed by the insurance company and is an expert in the field ).
At some point I would also get documentation from your treating
physician why you need this therapy.

Anyway, I know it is horrible what you are going through and dealing
with insurance issues on top of that is really the pits! How are you
doing otherwise ?
Alex