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Harvoni Denied Insurance Claim Lawsuit



Consumers are filing lawsuits against insurers who deny them access to Harvoni treatment, alleging the drug should be covered by their insurance. Among the insurance companies that currently face Harvoni lawsuits—or those who could potentially face them—are Anthem Blue Cross, Florida Blue Cross and United Healthcare.

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Harvoni

harvonihepcHarvoni, sold by Gilead Sciences, is a hepatitis C treatment. Hepatitis C is a contagious, potentially fatal, liver disease that is contracted through exposure to the blood of a person infected with it. Complications linked to hepatitis C include severe liver damage, infections, and liver cancer. Patients with hepatitis C can also experience other adverse health effects, including fatigue, pain, fever and arthritis.

According to court documents, more than three million people in the US have chronic hepatitis C, with 15,000 people dying annually of liver disease linked to hepatitis C.

In October 2014, the FDA approved Harvoni to treat hepatitis C. According to reports, Harvoni cures more than 90 percent of patients infected with hepatitis C in as little as eight weeks and with few side effects. Of concern is the cost—Harvoni costs around $99,000 for a 12-week program, according to documents filed in a lawsuit.

Harvoni Denials

unumdeniedstampInsurance companies are accused of setting restrictions on the hepatitis C patients who are approved for Harvoni treatment. Plaintiffs allege they have had their Harvoni claims denied on the grounds that it is not "medically necessary."

According to documents filed in one lawsuit against Anthem Blue Cross, the plaintiff was denied Harvoni treatment on the grounds that her liver was not damaged enough to warrant treatment. In other words, the plaintiff' liver had to have significant enough damage to warrant treatment, even though the treatment is designed to prevent liver damage and despite the plaintiff's doctor writing repeated letters on her behalf.

Harvoni Insurance Lawsuits

Lawsuits filed against insurers like Anthem Blue Cross and Blue Cross and Blue Shield of Florida allege the insurers breached their contractual duty to provide coverage for medically necessary treatment. They further allege breach of good faith and negligent infliction of emotional distress. Lawsuits filed in California also allege insurers deny treatment to increase profits, a violation of California law.

Insurers have defended their decisions, saying Harvoni was approved through a process that meant it was tested in fewer people, raising concerns about the benefits and side effects associated with the drugs.

Harvoni Insurance Claim

Some policyholders may have their claim preempted by ERISA (Employee Retirement Income Security Act). Policyholders who aren't likely to have a preempted claim are those who have insurance through an employer who is the government, a church or other religious entity, or who have their own self-insured policy—that is not through an employer, Medicare, Medicaid or the VA.

Harvoni Denied Insurance Claim Legal Help

If you or a loved one has suffered similar damages or injuries, please click the link below and your complaint will be sent to a lawyer who may evaluate your claim at no cost or obligation.
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HARVONI DENIED CLAIM LEGAL ARTICLES AND INTERVIEWS

Medicaid Patients Denied Harvoni Treatment
Medicaid Patients Denied Harvoni Treatment
January 22, 2016
Indianapolis, IN: Although most of the news regarding denied Harvoni insurance claims and resulting lawsuits involves private insurance providers, it appears Medicaid is also denying patients necessary Harvoni treatment. Patients allege Medicaid and other insurance providers are playing with their lives by deeming the hepatitis C treatment not medically necessary READ MORE

The Predatory Pricing Policy of Harvoni as a Modern-Day Scrooge
The Predatory Pricing Policy of Harvoni as a Modern-Day Scrooge
December 26, 2015
Washington, DC: In the wake of a congressional inquiry into prices and pricing strategy inherent with hepatitis blockbuster drugs Harvoni and Sovaldi, comes damning insight into the workings of a manufacturer pricing a drug through the stratosphere - its expectations for a backlash and its plan for damage control. The revelation should provide added fodder for plaintiffs and their attorneys embroiled in Harvoni Lawsuits READ MORE

Debunking Harvoni Pricing
Debunking Harvoni Pricing
November 24, 2015
Washington, DC: While most Harvoni Denied Insurance Claim Lawsuits take issue with insurance companies that balk at approving Harvoni treatment for hepatitis C in spite of medical need, one must only look at the pricing strategy maintained by Harvoni manufacturer Gilead for clues that could lead to another smoking gun READ MORE
READ MORE Insurance Settlements and Legal News

READER COMMENTS

Posted by
Josephine Lamont
on
My 52 Year old brother took Harvoni to cure his hep. C It cured him.
He wasn't informed that there had been cases of people developing liver Cancer after receiving treatment. I think people deserve the right to know if there's any controversy about possible side effects.
He died of Liver Cancer August 20th 2018. 13 days after the doctor told my brother he had up to 6 months to live. He went very fast and didn't have a chance at beating the cancer. I also think the doctors lied to him and didn't tell him he had cancer earlier until it was to late. Be careful when it comes to doctors cause medical error is one of the leading causes of human death.

Posted by
Worried wife
on
Does anyone know what the criteria is for Humana Caresource in ky to get the treatment for hep c

Posted by
Donna Hunnicutt
on
CONTACT YOUR LOCAL STATE SENATOR AND LET THEM KNOW WHAT IS HAPPENING- DEMAND THAT THEY HELP YOU GET YOUR MEDICATION- my Calif state senator;s office is helping me file with Dept of Managed Health Care to review and hopefully overturn my Blue Cross denial of Epcluse..SUCH A DISGUSTING, FRUSTRATING, STRESSFUL situation to be in, fighting for our medication that can CURE us in 90 days...But I am fighting with all my might...my doctor has NOT been much of an advocate other than initial Prior Auth.On my own here, but am grateful my Senator has stepped in...

Posted by
CKN, RN
on
So Sad that insurance companies that no nothing about disease and only look at the bottom line $$$ are the ones allowed to make medical decisions for us. People need to write to their states representatives and start changing this. On the other hand the reason for denial is $$$ the pharmaceutical company for Harvoni is charging $1200.00 per pill, which is an outrage, a 3week course of this med is $94,000.00 which is why they won't cover it. However, not covering this product will cost them more in the long room, because now they will have to pay for the treatment of liver damage. On top of that, those that do not have liver damage and not covered, will continue to spread it. How dumb these insurance company and pharmaceutical companies are..however we the ppl are allowing them to do this!

Posted by
Richard
on
I can't find a lawyer in sc everyone's afraid to sue medicaid scared kik b*tches what the f*ck

Posted by
ricky michaels
on
I need a lawyer been denied here in south Carolina 3 times by Medicaid I'm on ssi.

Posted by
Donald Webner
on
There is a great support group on FaceBook with about 5000 members, Hepatitis C Family and Friends

Posted by
Melissa
on
IMy 18 year old son was diagnosed last year with hep c , was told he couldnt get treatment until he 18 ,(he was 17 ) at the time, after finding out he was positive I got myself and my other two sons tested . I am positive , but not my other two children. Doctor thinks I gave it to him at birth...I have twins , and other twin doesnt have so i really dont know how we got it . His levels are worse than mine but not bad at all , no liver damage , I was approved by optom rx but he has differant insurace and was denied because he isnt sick , this is more than an outrage,i WONT TAKE MINE UNTIL HE IS APPROVED. I just dont get it, he and anyone who has this could spread it , we dont know how we got it so..who knows..I found a lawyer and think a lawsuit should be filed , and supreme court should get involved , the media , any help would be appreciated...I say we fight!!!!!!

Posted by
Eric Rotmil
on
I am also being denied (3 or 4 times already) . wanted to mention what I heard.
That as of Jan 2016 some Anthem and United Health Care
states are not denying due to the not sick enough thing anymore. Can't find this published, but a Gilead Rep told me that.
FloridaBlue is one of the hold outs that won't change their definition of "medical necessity" concerning patients.
I have requested the criteria they used to deny my claim.
(they use comparative research from who knows where and who knows what)
also getting tested for EHMs I am feeling tired and sick last two years, did not realize HEP C can cause many other health issues, speaking to lawyers too.
won't say much about that, just wanted to make some aware that things are changing , probably by 2017 all will be covered for Harvoni. Lets hope.

Posted by
donald webner
on
I have been denied 3 times by Florida Blue, I just got my 3rd denial letter today, my doctor says I meet all the criteria and I will be approved eventually ! Should I be searching for a lawyer now or just keep waiting. I have private self pay Florida blue at $802 a month with no subsidies. my income is boarder line for subsidies. just over the limit, but after rent, car payment and other bills it is tough to pay every month, I feel they are putting this off till Dec. 31st when my policy expirers , then the will raise the price of premium !

Posted by
Mia Wood
on
I was first denied Hep c treatment in 2003/I was diagnosed in 1998. I had been sober over five years. I was denied because of my bipolar disorder as time passed I went to work and got bipolar treatment but the drug I took cause liver damage ( lamictal I took the dr g 13+ years. I now can't get treatment because of the preautherazation process in Ohio medicade rules I'm now in final stages of li er disease. The dr. I've seen would not prescribe medication because I was not a good candidate for treatment be cause I anmited to using recreational drugs and to having occasionally a beer. I had been in substance abuse treatment since 19yrs old.
In the process of waiting for treatment even though the dr knerlw I had verisies sto.ACH ulsers herniea history of mostly alcohol abuse and mental illness I was not educated about my disease I ended I end up with five blood transfusions in five months the hospital called my family in. I was dieing didn't know it. Today my specialist won't prescribe preventive medicine because my M.D. did id y specialists would have educatede and kept a closer eye on me I wouldn't be dieing at this time I don't drink alcohol but after three clean urine test he didn't prescribe Hep med cause I got one dirty am I not worthy of medication because of something I've been dealing with since I was a baby I was expected to Die at 3yrs with phenomena in 1963. My mental health issues Ive been dealing with all my life there is now the the chance of dieing of hep c. I pray God isn't done with me yet.

Posted by
TESS
on
For all those with liver issues, get yourself on a good quality Milk Thistle immediately. Be pro active when it comes to your health & don't just sit & wait! Eat ONLY organic, grow it, juice it, research what your liver needs & be accountable for your health! My fiancee just finished the Harvoni program & so far so good. But he is at stage 3. He has been on Milk Thistle for over 10 years & eats a clean healthy organic diet, no red meat. If it weren't for those precautions he would be in much worse shape. The liver can rejuvenate & hopefully with the continued organic eating & juicing, the virus being undetected we are optimistic. Good Luck to you all & please be proactive now!!

Posted by
Michelle Diaz
on
My husband was infected with Hep C back in the 70's when he was a baby through a blood transfusion. He has Medicaid and was approved in 2014 for Harvoni after getting denied 3 times. The 3 month treatment went well, no bad side effects. You could tell he was getting better and feeling better. But the treatment failed to cure him. About 5 months after the Harvoni treatment he got a call from the doctor that the virus was back and ever since then our appeals have been denied over and over again for any other treatment or medication. He has Hep C genotype 1a with Stage 4 Liver Cirrhosis. His side effects are getting worst by the week. He has extreme itching all over his body, chills even in 100 degree weather (we live in Florida) he wears sweaters and jackets 24/7. Nausea, diarrheas, low appetite, his eye and skin have gotten yellowish, etc... I don't understand why it's allowed for any insurance to deny a patient of life saving medication at all! It should be illegal! They play with peoples lives, deciding who gets to live or not! To me what they do should be considered murder! I have wrote letters and made calls to so many people and organizations trying to get him help, it's heartbreaking for me and our children to have to watch his health deteriorate and feeling like we can't do anything about it. He was even referred to a Research Clinic to try and qualify for a free study treatment but he didn't qualify for any of the programs either. We're thinking maybe if we get a lawyer involved maybe we can get him help before it's too late.

Posted by
Melissa
on
Please sue and sue some more to make sure every patient has the right to those outrageously price drugs Sovalid and Harvoni. In addition, all patients that are denied go to India to buy your medicine for $1500. Its worth it. India provides about 60% of all American generics and China provides about 30% of injectables. Its okay if you think these countries are poor and backwards, just take and advantage of their low cost medicine. Also, you can google things like "harvoni price in india" or "sovaldi price in india". Sometimes if you put a .com on these website you may find some answers. Wish you folks all the best, but don't let these primitive people tell you if you can live or not live. You can get these medicines from India for the fraction of the price. Don't pity yourself and get angry at the worthless US healthcare system. Do something about it, so many other people have.

Posted by
Holly Heuer
on
After going through interferon/riboviron treatment for the full and excruciating course in 1998, only to result in failure of eradicating the Hep C virus, I waited for years for a drug like Harvoni to come to market. I was approved in November 2015 to begin treatment which would consist of the 6 month regiment due to my being "treatment experienced" and having chirrosis (stage 4). Getting my monthly refills went without issue until 5 days ago... Every month, 5 days before I'm actually due for my refill, I call my local pharmacy to remind them that the date for refill is pending to ensure that they have it available and avoid any interruptions in my treatment; however, when I went in 5 days ago, I was told that Optumrx (my drug coverage company) required another preauthorization from my care provider. I immediately got on the phone to contact her, even calling the local emergency room to see if a doctor there could contact her on my behalf and have her call me. The pharmacy also tried to reach her, as did Optumrx. Finally, she called me at 5:10pm last night - no apology, nothing; matter of fact when I told her that I had now been without my medication (Harvoni) for 4 days, she told me that even if I'd gotten hold of her she couldn't have done anything to assist me as she doesn't work on the weekends and only 8 am to 5 pm. Wow! She finally submitted the PA paperwork to Optumrx last night but now Optumrx is telling me that their pharmacist has to review it before [continued] approval. I have spoken with the Harvoni hotline nurse twice and this interruption in my treatment now reduces my chances of success (being cured). Even after explaining that to my doctor and to Optumrx, there was absolutely no concern or sense of urgency on their part. I am devastated by this, as is my family and now, going on day 5, I am still without my Harvoni medication. This should never have happened and, rather than being full of joy that, fianlly, I will be cured, if and when I get back on my Harvoni treatment, it will now be a constant source of stress for me knowing that I very well may not be cured because of this interruption in my treatment. I don't want this to happen to anyone else. Please - before this happens to you - talk to your care provider about the issue of prior authorizations arising mid-treatment and have a plan in place so that this doesn't happen to you!

Posted by
Jan
on
I just wanted to give alittle hope to those getting the denials. I too have Hep C, genotype 3. I rec'd my first two "not medically necessary letter back, but my doctor kept appealing. I was told I needed to use interferon first...all the same stuff. But I just tried not to get upset, watched the internet and lawsuits. And my doctor kept the appeals going. I got a Liver Biopsy, not real long term damage(necrosis) but my enzymes were very high and I had the increased hepatic steatosis "fatty build up. " I was at the point the I was looking for another insurance co, when MY APPROVAL CAME THROUGH!! I was told by an insurance lady that If You Keep appealing, you will be approved on the 3 or 4 appeal.(Mine took 5 appeals!! Oh, I also wrote a letter (online) to the Insurance Board, And sent in a request for my records..(like I was preparing to sue). You just have to stay at it..I think. Good luck to all. I have been on Savaldi and Daklinza for 4 weeks. With NO side effects! I take it an hour before bed, no problems sleeping. I wish ya'll all the luck!! Jan

Posted by
Mary Beth
on
Any positive stories out there? If so, what did you have to do to receive treatment approval? What insurance company do you use?

Posted by
Michael Wood
on
I was told in 2000 I had Hep C at a blood bank. Just recently I had test through my primary doctor. I do have Hep C. I have Ga. Medicaid. I was run through test over a period of almost a year. Between doctor visits and testing. Well I was sent a letter from Medicaid. And the doctor treating me. That I was denied, because, I wasn't sick enough. I had no liver damage. In other words they know I have it but won't give me the meds to get rid of Hep C. They wait until you contract a life threatening illness. So, they can continue to make money from illness. That the Harvoni would have stopped me from getting the illness. It's all about money. From the docs treating you. Imagine if they gave everyone the cure pill. Then they would miss out on billions of $ for treating you for the illness you would have never gotten. If you had the Harvoni. I can not believe how they get away with what is obvious. Favoring making money, and curing people. Don't be fooled. Doctors don't want a cure for anything. How would they make money. If you doctors are really in it to help people. Then stop your selfish motives. Money! Period! Is their driving force. They don't want a cure for anything. Only treat it. Keep you alive as long as they can by giving all these meds that do nothing but ease the suffering till you die. By that time. Do you realize how much money has been made from treating, an illness like Diabetics! Do you really think, if they found an absolute cure for Diabetes. They would announce it. It would be like shooting yourself in the head. to be blunt. I'm so sick of these kinds of people. Something has to be done. And no politician will help. Who do you think gives them millions of dollars.The pill mills! That's what I call them. They are some of the most unethical people you will find. Among others. So, what can be done.

Posted by
Monica
on
I am on Medical assistance through my state. Minnesota. I was denied by Ucare November of 2015. Ucare was no longer an option for insurance carrier. I chose Blue Cross Blue Shield of Minnesota. I just got my approval letter yesterday. Praise God!!!

Posted by
Venetia Kelley
on
I have hep C stage 3, genotypes 1 and 2. I have Medicaid (Care Oregon/Oregon Health Plan). My hepatologist was denied 3 times, trying to get the Harvoni for me. My appeal was denied. I am now going to go for an Administrative Hearing, through the State, not the insurance company. I have Severe Fatigue, among other things. I think that the laws are being broken regarding access to this medicine. Any other folks from Oregon in a similar boat?

Posted by
Boing66
on
Now that our doctors put us through all the test and expectations for the health insurance companies and making money (our doctors). Well the doctors made out he/she should have known we were getting denied if or livers were not in a death stage. I'd say sue the doctors as well.

Posted by
Barb Terry
on
We need to unite and have a million "man" march in Washington. So many people are not even aware that this is happening, and I agree, it equates to murder!!

playing GOD by the insurance companies (who gets treatment and who does not) for the sake of their bottom line is actually understandable because it will bankrupt them to treat everyone right off the bat. But the pharmaceutical companies are disgusting for charging $1000.00 per pill !
How can anyone deny life for profit?
(Pro-life???)

Posted by
Beth Haemingway
on
Has anyone tried a lawyer? What if we all got a class action suit going?

Posted by
PDMac
on
New twist to Optimun RX / United healthcare. They need me to prove I can not take interferon alpha; which has a low cure rate and has so many side effects it would use up this whole blog.
I have Geno 3;F4 ; but they want me to take a drug that will damage my liver even more and probably keep my from holding a job that pays for my insurance.And the when your not naive and have failed your first treatment its even harder to get treated again. Do you know that Pharassist that developed this drug was supported through federal grants and the head at the time was a VA doctor on the government payroll; then Gillead bought them out ; never had any R&D money in it and just overcharged as much as they could; In India you can treated for under $2000.00 total; its not that hard; look up Greg Jefferys.

Posted by
Alan J Lewis
on
I too was told I must be more sick in order to get treatment. BCBS OF NJ. Isn't what they are doing illegal?

Posted by
Bella
on
Hi everyone. Yes, I too was denied tx from United Healthcare. Exact same reason, just not sick enough. Im only stage 1 not 3 or 4 or on my death bed!! How can this happen? Something has got to be done. We need to be heard! Maybe we should write to our Congressman? Obama? (what a joke) I called support path through Gilead pharmaceuticals whom make Harvoni and Sovaldi. Get this, I do not qualify for patient assistance because I have insurance!! Its a damn catch 22. Damned if you have insurance. ( because Im not underinsured) cant qualify but damned if you dont have ins because the IRS will tax you. Wtf. Im furious about this ordeal! I have no clue how I even contracted this damn virus.

Posted by
oscar
on
I just got my denile letter,it is so sad that they decide either you live or die,goverment spending billions of do)ars to guns but they can not help people with this or the other sicnesses, i thing we should have million people marsh to protes this bullshit,system ,come t gether and do somthing abouth it.... i

Posted by
Jan
on
Same story here. I need Sovaldi as I have genotype three, but I get the same letter back, denying my claim for "Not medically necessary." I'm watching the lawsuits! Surely something has got to break soon.

Posted by
TC Chatman
on
I just wanted to join the choir and state that United Healthcare has been denying me treatment since March I have one of the top liver specialist in the country Dr Lee and he has so far been unable to get approval he has done several clinical trials and work with pharma and still giving us the standard line of medical necessity. I am so stressed out i am unable to work because of low energy and pain. Where are you Obama even though he stated today we should not be getting denied what are you going to do?

Posted by
Jan Scott
on
Does anyone know of any insurance company that covers this medication?

Posted by
Beth Hemingway
on
Is there anybody out there listening to us? Is there anybody willing to go to bat for us? This should not be happening!

Posted by
denise shepard
on
I was told over a year ago that I have stage 3 live disease due to Hep C that I received from a blood transfusion at birth. I still can't get the Harvoni. I have been turned down 4 times. I'm so sick and it is getting worse. I have had a hearing with the state and they don't care no one does and when you are {low income} that's even worst they don't care if I die.

Posted by
Kris Edwards
on
Hi All,
I work in a healthcare setting where we primarily treat HCV patients. Here is what you need to be approved for Harvoni through BC:

You must include the following labs and they must have been completed in the last 6 weeks prior to sending:
CBC w/ platelets
AST/ALT
Total bilirubin
Serum albumin
PT/INR
Serum creatinine
GFR
Your baseline HCV RNA must have been done in the last 6 months.
Your physician must include a statement that you either 1) have been screened & tested for alcohol and illicit drug use OR 2) state that you are currently in treatment.
as well as a statement that you do not/ will not take St. John's Wort.
A fibroscan or biopsy staging score of F3 or F4 UNLESS you are coinfected with HIV and then you may be approved at lower scoring (7.0 on a fibroscan).
If possible, a Child Pugh score is helpful.

You do not have to be Genotype 1 but there are different criteria for other genotypes that I can send to you if you like. The criteria for any Anthem Blue Cross medication can be found here: https://www.anthem.com/pharmacyinformation/priorauth.html

Best of luck!

Posted by
Grisel suarez
on
I was diagnosed with hep c 1 year ago my doctor said I was a great candidate for Harvoni well I was denied from my insurance armed four times but I was very persistent and call support path they send me an application and help me with filling a complaint to my insurance company well today I got the news from my doctors office that I was approved and the special pharmacy will contact me for the delivery of the medication. Don't give up this is our only chance. Good luck to everyone.

Posted by
Kandice
on
I was just called by my doctor today, he said they have tried everything i have been denied for the 4th time, reason being i am just not sick enough. I am feeling a bit down at the moment, this is very frustrating knowing that the cure is out there but i can not have it. Im upset with the drug companies, and my insurance company. I want to live without the worry of possibly passing this to my children or my husband. This needs to be fix, none of us should have to wait till we are sick! It is wrong to place profits before morality.

Posted by
Debbie Lee
on
I havebeen denied by Caresource because i was given sovaldi and olysio. That treatment failed and the dont want to pay for Harvon.Im on medicaid.They told me to look through my community.

Posted by
Jamie Fox
on
I am a 24 year old female with 6 years clean time. I was told that my liver has not been affected by the hepatitis C so therefore my insurance would not cover the costs of treatment. I was also told that it costs just $4 to make one pill then it gets sold for $11. So am I supposed to wait until I am bedridden along with all of these other people? It's ridiculous. It's like the insurance is only willing to pay for the medicine when it's not going to do anything, so all that money will be wasted. When your liver gets to a certain point, there is no return. WHY WAIT? I am trying to get treatment before my son has a sick mom who can't do anything with him. I simply don't understand. I know that it's all about the money for most doctors, but my doctor is so frustrated that he can't do his job....his job is to heal people and make them healthy. He cant' do that when the insurance companies are tying their hands, claiming they can only give the medicine to the people who won't benefit from them. It's like closing the barn door after all the animals have ran out. It's just so frustrating.

Posted by
Brent Johnson
on
have denied three or four times -need help with this have private insurance we have HealthNet California

Posted by
Marie Bingham
on
I received the exact same, word for word denial letter within two days from Anthem. Appears to me that's it's a template used to deny everyone that needs Harvoni. Still appealing and don't really see a solution. The insurance company went as far as to tell me I should try assistance from the drug company and some other lame, bargaining excuse so they don't have to pay as my options. They sure don't mind taking my premium every month. I guess I didn't realize that my premium only covers specifics. Something needs to be done!

Posted by
Diana Colombo
on
I received my denial letter from United Health Optum RX after waiting a few years for this medication to come out to find out insurance will not cover it because I am NO)T sick enough, so I have to wait until I am sick, can't work and have no insurance to fight a bigger flight, insurance makes no sense, United health has criteria on one website I found that contradicts the letter I received, I didn't do prior medications because my doctor knew Harvoni was coming out and he said I would be a GREAT candidate for it and have a great chance of being cured of the disease only for my insurance company to tell me I'm not sick enough, are you kidding me, I do not do drugs and can prove that and I never had any other treatment which states in writing from a past united health post that i would be covered for 12 weeks, now they are denying PA and telling me I am not sick enough, if i can sue them and I will, this is just wrong to make people wait until they are sicker to get help!!! why the hell do I pay insurance, it preventative but insurance won't cover it because cost is to high, like we don't pay enough for insurance!! I have paid insurance and paid for this medication 10 fold over the years of not using my insurance,. where is all that money??? If you can help me please do!!! This shit needs to stop! I have had hep C for years and waited for a cure, not there is one and I can't get it because of health insurance says so!!! Why go to the doctor lets ask insurance company what is good for my health!

Posted by
Sandra
on
My husband was diagnosed with hepatitis C. I have been fighting with the ins co BCBS since June 1st. We r at our wits end. He has a head to toe rash very itchy 24/7, fever on and off, very fatigued, pain, swelling. The tests show he has genotype 1, fatty liver and almost in cirrhosis stage. He's getting worse as the months go by. Why show the commercial or why does my insurance say it covers it and we can't get it. I wrote a long letter to them that his levels have been off since July 2013 but no one came up with the diagnosis until march 2015 and couldn't get in with a specialist until June 2015. This is horrible! Do u have to be on your death bed before someone does something? Almost 3 months of fighting and we r in appeal again!! Ugh!! I'm not going to stop fighting for my husband! I will obtain a lawyer if this last appeal gets denied! Very frustrating!

Posted by
joseph lutch
on
help, have hep c, denied treatment thanks joe.

Posted by
Cheryl Crain Gentry
on
I received my denial notice today. I qualify for the medication but was denied by BCBS. The reason, I'm not anemic. CAT Scan showed cirrhosis. How can a person be denied a lifesaving drug? This equates to murder.

Posted by
wanda hernandez
on
i am currently with medicaid humana.i have been trying to get coverage for harvoni for almost a year.i have hep c and have the genotype 1.

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