June 2006 Cover
|
 |
Albuquerque AIDS patient Catherine E. DeBonet filed a lawsuit last month asking a federal court to order her Medicare drug plan to let her fill a prescription for medicine she says will help save her life.
According to the lawsuit, UnitedHealth refused to pay for three daily doses of the anti-nausea drug Zofran, which DeBonet's physicians say she must have. The company denied coverage for the drug because the
Food and Drug Administration approved it for use only 12 times monthly. DeBonet's doctors determined two years ago that only three tablets of the drug each day could control her nausea and allow her to eat solid foods.
New Mexico's Medicaid program provided the medication until January 1, when the Medicare drug benefit law required Medicaid patients to switch to Medicare coverage.
The suit contends that without Zofran, DeBonet "will have to choose between a permanent feeding tube, which will cause her constant pain and leave her at a high risk of infection, or death."
"The Medicare agency's administrators seem more concerned with touting the new Medicare drug coverage than assuring that beneficiaries like Essie DeBonet actually get medically needed coverage under it,"
said DeBonet's attorney, Michael Parks of the Senior Citizens Law Office.
Editor's Note: from the Albuquerque Journal
You are not logged in.
No comments yet, but
click here to be the first to comment on this
HIV Digest!
|
