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Pancreas Cancer

appeal? was posted 03/27/2015 11:18 am by Anonymous
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Have you looked up what the process is for appealing? I've found that I never accept 'no' for an answer when it comes to insurance companies, and I almost always win with a fight. Is the Palliative Care doctor at all familiar with the appeals process, or familiar enough with Medi-cal that they feel it is possible/impossible to appeal? Talk with them.

But one thing - Medicare and Medicaid are not like private insurance. While a certain amount of coverage is guaranteed and they are wonderful plans in many ways... if they don't cover something, it may be very very hard to change their mind.

Forgive my ignorance, but is marijana legal for medical reasons in California? If so, does Medical cover it? Talk to people in the cancer center - social workers, the palliative care nurses etc... Sometimes people know 'back door' solutions to this problem, if you know what I mean.

Also - there are other appetite options. Mirtazapine can help mood, sleep, nausea and appetite. Megace can be useful for some.

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*DISCLAIMER: This page is an unmoderated forum, and the opinions expressed herein do not necessarily reflect the viewpoint of The Johns Hopkins Medical Institutions. Patients are advised to consult their personal physicians before making any medical decisions.
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