Appalachia
New Member
- Jurisdiction
- Tennessee
I have a serious issue with my new Healthcare Insurance. My work changed this year on July 1st, 2023 from Cigna to BCBSNC. I work from home in TN, but my employers are in NC. When my Neurologist sent in the prescription for my Migraine Medication (Nurtec), they were denied. Explanation not on denial is: " The request does not meet the definition of Medical Necessity found in the benefits booklet ". So my Doctor said let's try Emagality.
Let me pause here for a minute. I suffer from migraines for over 20 ++ years. I have been on triptans for most of that time without them doing anything for my pain. In 2019, I had a week-long migraine attack that ended up almost in the hospital after my blood pressure was so high I just about had a stroke. That said I was put aimovig. I did not have a good reaction to the medication. Next, I was put on Topomax and Nurrtec. The Nurtec was like a miracle medication. Not only did I get relieved, I got my life back. I was not worried about going to an event or vacation and staying in bed for three days because of my migraines. I could work without having so much pain I could not concentrate or even talk.
Anyway, I am not on Topomax anymore, because it caused me some kidney issues, but the Nurtec still was working as a preventative and immediate relief. Now, I have been trying for three months Emgality without any backup. The migraines I get are like I used to have, unbearable. Also, the injection is painful and hurts for days after the shot. I told my doctor I wanted to get back onto my Nurte. He sent in another request.
Again, I got denied the same response from the Insurance company, and they want me to try another Injection medication. I do not want any Injections. I want to take pills I can control daily or when the pain comes. No more Injections. They do nothing for me. I have been on Nurtec for three years, and I should not suffer in pain and agony while BCBSNC tells me this medication is unnecessary.
What can I do? How can I fight this? I need help. Please advise Thank you
Let me pause here for a minute. I suffer from migraines for over 20 ++ years. I have been on triptans for most of that time without them doing anything for my pain. In 2019, I had a week-long migraine attack that ended up almost in the hospital after my blood pressure was so high I just about had a stroke. That said I was put aimovig. I did not have a good reaction to the medication. Next, I was put on Topomax and Nurrtec. The Nurtec was like a miracle medication. Not only did I get relieved, I got my life back. I was not worried about going to an event or vacation and staying in bed for three days because of my migraines. I could work without having so much pain I could not concentrate or even talk.
Anyway, I am not on Topomax anymore, because it caused me some kidney issues, but the Nurtec still was working as a preventative and immediate relief. Now, I have been trying for three months Emgality without any backup. The migraines I get are like I used to have, unbearable. Also, the injection is painful and hurts for days after the shot. I told my doctor I wanted to get back onto my Nurte. He sent in another request.
Again, I got denied the same response from the Insurance company, and they want me to try another Injection medication. I do not want any Injections. I want to take pills I can control daily or when the pain comes. No more Injections. They do nothing for me. I have been on Nurtec for three years, and I should not suffer in pain and agony while BCBSNC tells me this medication is unnecessary.
What can I do? How can I fight this? I need help. Please advise Thank you