Does anyone know if the guidelines the insurance companies use is
standard say for example
the viral response for a 1B to continue after 24 weeks. Not that it
makes any difference once you start the treatment because you can't
quit one and join another because it's pre existing condition at that
point but does it vary from one insurance company to the next or is
there a standard they all adhere to ?
I just talked to a friend on the phone today, he's a 1A and they took
him off after 6 months.
First 3 months he was doing well and the last 3 apparently there
wasn't enough of a response for
the money grubbing friggin' insurance company to justify another 6
months and so they handed him a death sentence.
bobby - 13 Feb 2007 12:58 GMT
Guy, insurance companys rule. They can do what they want and change that rul
as they go. Example: 3 weeks ago my nephew threw in the towel/pipe and
admitted crack had tore him apart, ETNA insures him. Being a former
therapist down in that part of NY, I began to try to get him into long term
treatment. His robberies could have gotten him 3-10 in jail for sure. He was
a supervisor at UPS. No hospital, according to ETNA would take him as there
is no long term withdrwl from crack. My sis took him out, got him drunk,
brought him back. He got 2 day treatment but must go to 8 hr out patient,
fail treament after 6 months and then ETNA would decide if he needs 14 day
rehab....He's currently living back home with his 8 month pregnant wife,
fired, no insurance cause UPS wouldn't take him back with out doc's note.
Stupidly/desperatly he went to human resources to admit his problem. UPS
sent him to hospital/ I'm glad I don't work in no filling station near him
cause I KNOW, when he goes this time....as he takes the money and blows
their brains out,...."Can you spell ETNA?"
Yeah, they can do what they want
Bobby
> Does anyone know if the guidelines the insurance companies use is
> standard say for example
[quoted text clipped - 10 lines]
> the money grubbing friggin' insurance company to justify another 6
> months and so they handed him a death sentence.
elmoemerson@webtv.net - 13 Feb 2007 13:12 GMT
Just curious about insurance companies.
Group: alt.support.hepatitis-c Date: Tue, Feb 13, 2007, 1:26am (CST-2)
From: phxazhepc@cox.net (Guy)
Does anyone know if the guidelines the insurance companies use is
standard say for example
the viral response for a 1B to continue after 24 weeks. Not that it
makes any difference once you start the treatment because you can't quit
one and join another because it's pre existing condition at that point
but does it vary from one insurance company to the next or is there a
standard they all adhere to ?
I just talked to a friend on the phone today, he's a 1A and they took
him off after 6 months.
First 3 months he was doing well and the last 3 apparently there wasn't
enough of a response for
the money grubbing friggin' insurance company to justify another 6
months and so they handed him a death sentence.
/////////////
Hey, Guy. I think you're probably getting the info on this one all
wrong. Doc's normally make the decision about when someone goes on
treatment (tx) or comes off of it, not the insurance companies. If your
friend was taken off tx at the end of six months, it was a 'medical'
decision, not a money issue. Fact is, the guy's doctor was doing him a
favor by taking him off tx at 6 months as opposed to leaving him on a
regimen that was doing him no good. After you've been on the meds for
awhile, you'll understand what I'm talking about. Why would your friend
want to take a beating when it did him no good? And......being taken
off tx is not a death sentence. I know alot of people living with the
virus that are biding their time until a more effective tx becomes a
reality. I also see you're using the term 'SVR' incorrectly. 'SVR'
stands for 'sustained viral response' and means that there is no
detectable virus six months after end of immunotherapy. That's
considered the coveted holy grail by heppers, it translates to being
cured.
'Fart and run' tactics are pretty low, like leaving car bombs. If you
really want to be a martyr (and get your 40 virgins), stick around after
you've farted in a crowd. :-)
elmo
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum
Guy - 13 Feb 2007 19:02 GMT
On Feb 13, 6:12 am, elmoemer...@webtv.net wrote:
> Just curious about insurance companies.
>
[quoted text clipped - 39 lines]
>
> http://community.webtv.net/elmoemerson/TheFamilyAlbum
Thanks for explaining that to me Elmo. So what is EVR ?
Waterspider - 13 Feb 2007 19:29 GMT
"Guy" <phxazhepc@cox.net> wrote >>
So what is EVR ?
Elusive viral response?
Sara - 13 Feb 2007 19:37 GMT
> "Guy" <phxazhepc@cox.net> wrote >>
> So what is EVR ?
>>
> Elusive viral response?
well, in my case it meant EARLY viral response, which is a good
thing, Guy.
Sara
3 more to go! Then the hard part starts.
greyhackles - 13 Feb 2007 19:44 GMT
>"Guy" <phxazhepc@cox.net> wrote >>
> So what is EVR ?
>>
>Elusive viral response?
ahahahahahaha! hopefully not!
Early Viral Response. Response to therapy - as measured primarily by change in
viral load, but change in LFTs can contribute to understanding response as
well - can be measured at numerous points during therapy. The 2log drop in 12
weeks hurdle is part of that.
But in the last couple of years, as a *negative* predictor, testing viral load
changes at week 12 has been shown to be pretty damned accurate (poor response
= little chance of SVR if following the current *standard* therapy), and as a
*positive* indicator, testing at 4 weeks with a profound viral response has
also shown correlate well with achieving SVR.
Cheers
/greyhackles