Hello Everyone,

A local gastroenterologist sent me a 28 year old patient who has ulcerative colitis.  He has failed standard care since last July.  I have never treated anyone with ulcerative colitis.  I have read the article by Buchman and Fife in the Journal of Clincial Gastroenterology from October 2001.  The next step for this patient is colectomy in a 28 year old man because of the severe pain and bleeding.  This patient is located in Troy, New York.  Anyone have luck with getting insurance companies to cover this indication?

Thanks Vince

We had the same experience in MA.  We treated a young patient with severe ulcerative colitis and sent letters for prior authorization/special consideration and were able to receive payment from (I believe) United Healthcare.  good luck

Thanks for your help everyone, unfortunately the patient's insurance company was not very accomodating.  Maybe I did not say the right thing.  It is very frustrating especially when I see the great results.  Any one willing to send me a letter that you submitted to the insurance company.

Thanks Again