Thursday 04/03/2025
The insurance company refused to psy the treatment
The insurance company did not approve the treatment because the internationally recommended procedures list three other possible double chemotherapy combinations. Lenvatinib is therefore not the only possible treatment and they should only reimburse unapproved drugs if it is the only possible treatment. They did not find that I would be an exception in some way and the doctors cannot think of any arguments for an appeal.So I am now arranging treatment for three months as a self-payer. After three months, a control scan would be done and if success was seen, an appeal would be filed with the insurance company with proof that the Lenvatinib treatment works and the chemotherapy does not (so I am an exceptional case and they should make an exception and pay). The irony is that because of this, two additional PET/CTs will be done, the price of which will exceed the three-month price for the Lenvatinib treatment and the insurance company will therefore pay more. But the decision is made formally, not logically.
Zobrazit více
Do not send me any money yet. The collection will be carried out through the Diakonie CB account, where they offered us help with the related administration. We would have to tax a larger amount of donations.
I apologize for not writing for a long time. The insurance company does not meet the deadlines and I was negotiating with the hospital about the possibilities of further action. I did not want to write a message until I knew for myself.
P.S.: The flower “Neboj se” is trying to encourage us with three flowers.