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.
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.
On Sunday evening I took the fourth Tremfya (guselkumab) injection out of the refrigerator. As I carefully opened the box the instructions fell out onto the desk. I thought, hey, I know how to inject a syringe subcutaneously, so I don't need to look at it. But a seed of doubt entered my mind: have I really injected Tremfya correctly?
I couldn’t believe what I read in a letter dated November 21 from Western Health Advantage (WHA), my health insurance provided. They approved my continuation of care request for one more visit in December.I’d already said goodbye to Dr. M and his team at the November appointment. With excitement, I called the Dermatology department to book my last dermatology visit at UC Davis Health. That last appointment, while hard to book, helped me assess my progress and figure out next steps for psoriasis and eczema treatments.