Help With Insurance

Discussion in 'Fibromyalgia Main Forum' started by Debb, Nov 29, 2002.

  1. Debb

    Debb New Member

    Hi. I am new to the boards. Hoping somebody can direct as to go where this problem. Recently we changed insurances>Cigna, they are denying my prescription for Vioxx for my FM. They said I do not meet the criteria for needing it (arthritis,etc.). I have never had this problem before and I want to have all possible information or who else I can contact with this problem. Thank you.
  2. Debb

    Debb New Member

    Hi. I am new to the boards. Hoping somebody can direct as to go where this problem. Recently we changed insurances>Cigna, they are denying my prescription for Vioxx for my FM. They said I do not meet the criteria for needing it (arthritis,etc.). I have never had this problem before and I want to have all possible information or who else I can contact with this problem. Thank you.
  3. sheri

    sheri New Member

    The only thing I have heard of is having yor MD write a letter to your insurance carrier letting them know that you NEED this medicine . Wish I knew more, but who can figure our insurance co's?
  4. teach6

    teach6 New Member

    I've had a similar problem with my insurance company over another rx drug. Even after my doc sent them a letter explaining why I needed it they still denied it. They said it was only covered for those with MS and Narcolepsy.

    My doc searched for a study he heard presented at the CFIDS conference two years ago, but couldn't find it in any of his on line sources, so until there is a printed report, I'm out of luck. The med is quite expensive, so we opted to hold off for now.

    I have heard that Vioxx is not really helpful with FM pain since it is for arthritis which is a different kind of pain than FM. That may be why your insurance would not cover it at all. I do know that it is not covered by several insurance companies without a doctor's letter stating why you need the med.

    There are so many meds that do help with FM pain. Perhaps your doc could prescribe one of those. Personally, I take Ultram.

    Barbara
  5. Gigo

    Gigo New Member

    What has always worked for me with numerous prescriptions, including Vioxx, is to ask your physician to write a Letter of Necessity to the insurance company. It does work--if you persist. My carrier is infamous for the number of their denials. My Rx was written by a pain specialist which may have made a difference...

    I found Vioxx to be very effective, but I had to severely limit its use due to an adverse reaction--stomach distress.

    Also, when I finally told my insurance carrier that the grief they were giving me was causing more stress which resulted in poorer health and more visits to my doctors--and more prescriptions--everything changed. It was miraculous! Try it! Don't let them rule your life. Your premiums pay their salaries and they are supposed to be there to SERVE us.[This Message was Edited on 11/29/2002]

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