Posts: 1
Threads: 0
Joined: Sep 2018
Gender: Male
Location: Florida
Treatment: Topical
Into 4th week of Cosentyx. Dramatic results and no side affects. That’s the good news.
The dermatologist started me on samples before he had received preauthorization. Today my insurer, TRICARE, denied Cosentyx and will only approve Humeria(spelling?). Now, I have complete most of the five weeks of treatment and it has to stop unless our appeal is approved. I have been assured that it will NOT be approved.
What a mess.
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
Brilliant that it works so well for you and a shame they will pull the rug out and not approve it for continued use ...I don't know about your system over there, hopefully one if our American members might be able to help
Welcome to the club
I hope someone here might have some advice for you
Jim
Posts: 28,487
Threads: 117
Joined: Nov 2011
Gender: Female
Location: In between the tulips
Psoriasis Score: 3
Psoriatic Arthritis Score: 3
PQOLS: 4
Treatment: Got back to DMF slow release
That is really ‘sh*t’ Brookpark .
I really don’t understand the Insurance company. Changing to Humira may very well work, but that is not obvious and it may very well be that it does not work or only shortly, while the costs are very much alike. At least they are over here in the Netherlands.
If Humira doesn’t work, I hope it does of course, can you make the insurance responsible for that ?
Welcome to Psoriasisclub
Caroline
Posts: 9,829
Threads: 84
Joined: Aug 2014
Gender: Female
Location: GA
Psoriasis Score: 3
Treatment: Clobetasol Topical
(Thu-14-02-2019, 02:07 AM)brookpark Wrote: [To see links please register here]
Into 4th week of Cosentyx. Dramatic results and no side affects. That’s the good news.
The dermatologist started me on samples before he had received preauthorization. Today my insurer, TRICARE, denied Cosentyx and will only approve Humeria(spelling?). Now, I have complete most of the five weeks of treatment and it has to stop unless our appeal is approved. I have been assured that it will NOT be approved.
What a mess.
Our insurance system is crazy isn't it?
Hopefully the Humira will work for you and if it doesn't then maybe that will help in getting Cosentyx approved.
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