EPO coverage denied?

Discussions for Patients, Family, and Friends HD For Patients
1

Hmmm. I just got a letter from my insurance company denying my nephrologists request for EPO. They state:
" Epogen is a medication for the treatment of severe anemia associated with certain conditions. Because we cannot establish that you have been diagnosed with severe anemia, we are unable to approve coverage of epogen."

What’s that all about?

2

Sounds like maybe your doctor did not include information about your diagnosis and your hemoglobin level? I’d ask the doctor’s office to resubmit.