Lupron denied by insurance
Has anyone been denied lupron by their insurance company recently? (I saw a short thread from 2 years ago.)
I’ve been on lupron shots for a year. I had to switch insurance last fall, picked on that covered lupron, but just got a denial for a shot I’m supposed to get tomorrow. My insurance is with Blue Cross. My doctor appealed & the appeal was denied.
Has anyone else had this experience? If so, what happened?
UPDATE: Blue Cross denied Lupron & would not consider another appeal. I don’t know why. My doctor speculated that it was the dosage (quarterly instead of monthly). Blue Cross didn’t give a rationale. But, it approved monthly zoladex. 🤷🏻♀️ Glad I can get treatment, but I have no idea why it changed. Good luck to everyone else!