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Oral Drug Parity – What Is It and Do I Have It?

Cancer survivors have many additional problems in their life. I guess the most significant problem is that we have a life threatening illness. So, why are we forced to have to worry if our medications will be paid for or if we are able to afford to pay for them? When we are fighting for [...]

Appeal That Negative Insurance Determination & Win

You have cancer and now you need to add a new battle, with your insurance company because they have denied your request to cover a certain drug or a treatment. Going to your health insurer is always frustrating and time-consuming. They don't care if what you need will extend your life or make living better, [...]

Step Therapy – The Creeping Crud Infecting Our Care Takes Another Bite Out Of Our Treatment  

Step therapy (ST) has again reared its most ugly head in our prostate cancer world, to the detriment of us, prostate cancer survivors and only to the benefit of private insurance payers. So, what is this “creeping crud,” Step Therapy (aka as Fail First Therapy)? Simply, ST is when insurance companies decide, without sound medical [...]

Medicare Open Enrollment Begins Today

All of the Americans who receive their insurance benefits from Medicare need to become aware that the Medicare Open Enrollment Period begins today,   October 15. What is the Medicare open enrollment period?During this open enrollment period you can make new choices and pick plans that work best for you depending upon your doctors and [...]

An Important Announcement – Open Enrollment Period for Medicare

All of the Americans who receive their insurance benefits from Medicare need to become aware that the Medicare Open Enrollment Period will begin this coming October 15. What is the Medicare open enrollment period?During this open enrollment period you can make new choices and pick plans that work best for you depending upon your doctors [...]

Step Therapy with Zytiga & Xtandi – Two Equal Drugs Make Our Insurance Companies Our Doctors!

Recently men with advanced prostate cancer have found that their insurance companies have been dictating what drugs they can get instead of their doctor making the best decision for them. At Malecare we have seen that when a man with metastatic castrate resistant prostate cancer (mCRPC) has finished taking chemotherapy they have been steered by [...]

We Need to Improve Access to Oral Chemotherapy By Changing Insurance Co-Pays and Out-Of-Pocket Expenses

Cancer chemotherapy agents historically have been administered intravenously or by an injection. In recent times there have been a number of emerging oral chemotherapy. Most of us strongly prefer the oral drugs as they are a convenient and noninvasive alternative to intravenous and injected therapies. Additionally, many of the intravenously delivered chemotherapy drugs target and [...]

A Hallmark Moment For Private Medical Insurers – The Impact of the Affordable Care Act

We have just reached a red letter moment in the area of medical insurance. The provision of the Affordable Care Act that requires medical insurers to spend 80% of the consumers’ premium dollars they collect—85% for large group insurers—on actual medical care rather than overhead, marketing expenses and profit just kicked in to effect. This [...]

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