In a saga that dates back to before Christmas I still do not have a home phototherapy unit. Sadly, documenting the insurance denials from Western Health Advantage (WHA), made no inroads with them. They denied coverage, my dermatologist and I appealed, and they denied the appeal of the denial. Simple. The next step to procure a home phototherapy unit would need to bypass insurance coverage.
I am getting tired and frustrated with my health insurance provider. Really. On December 15, 2017 my dermatologist, Dr. Maverakis, prescribed a home narrowband Uphototherapy unit. This unit, costing about five-thousand dollars, would treat both my psoriasis and atopic dermatitis (eczema). But about 100 days later insurance says no. Again.
Last year I very much looked forward to attending the National Psoriasis Foundation's Capitol Hill Day in the nation's capital. Alas, due to inclement weather and subsequent flight cancellations, I didn't make it. This year I'm hoping the storms hold off long enough for my flight to land at Ronald Reagan National Airport on Sunday evening. If they do I'll not only check off another item off of my psoriasis bucket list, but also join in a cause I’ve become increasingly passionate about.
March 5th finally arrived--injection day. The time came for the fifth dose of Tremfya (guselkumab) twenty-eight weeks after starting this treatment journey with it in August. As I waited for the medication to warm up for a few minutes my thoughts began to wander. Would I take Tremfya if my insurance didn't pay for the approximately ten thousand dollars per injection? Is there any chance for even greater improvement as I go into the second half of a year taking it? Will any long-term side effects eventually pop up if I take Tremfya over a long period?
I looked forward to my first dermatology appointment at 1:30 p.m. I drove into town around 12:30 to give myself plenty of time. Then it dawned on me. My dermatology appointment was at 11:30 a.m., not 1:30 p.m. Thankfully, the clinic staff showed kindness and allowed me to still see the new dermatologist and get the treatment I sought.