Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

5+ Years After Cerebral Anerysm Coiled, Experiencing Daytime Sleepiness, How To Ask For Provigil To Be Covered Under Insurance?

5+ years ago I had a cerebral anerysm coiled. Including the work-up, procedural and post procedural follow-ups I have had multiple CT scans (including 2 3-D). About 6 months after the procedure (an I am glad to be alive) I began developing mentation issues, including slowed thinking, daytime sleepiness and such. I cannot tolerate adderal and as a health care professional I have to remain alert. The insurance will not cover Provigil because I did not meet the criteria of narcolepsy (into REM within 20 min). The cost is prohibative ( $450 /month). Do you have any suggestions on what other approach I could take to appeal the decision from the insurance co.? Thank you.
Mon, 8 Sep 2014
Report Abuse
General & Family Physician,  's  Response
Hi and thank you so much for this follow up precision.

I am so sorry to hear about these symptoms that you have reported and the difficulties getting this drug covered by your insurance company. The ideal thing would have been for the doctors to say your sleep studies support the use of this drug but, it is professionally and ethically wrong. There is really no way going about it and I will suggest that you look for alternative ways to fund for this.

I hope this helps. I wish you well. Feel free to ask for more information should need be.
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Sleep disorder


Loading Online Doctors....
5+ Years After Cerebral Anerysm Coiled, Experiencing Daytime Sleepiness, How To Ask For Provigil To Be Covered Under Insurance?

Hi and thank you so much for this follow up precision. I am so sorry to hear about these symptoms that you have reported and the difficulties getting this drug covered by your insurance company. The ideal thing would have been for the doctors to say your sleep studies support the use of this drug but, it is professionally and ethically wrong. There is really no way going about it and I will suggest that you look for alternative ways to fund for this. I hope this helps. I wish you well. Feel free to ask for more information should need be.