Reply To: Denied/Delayed ivIG

Marvin, You don’t say what insurance carrier policy you have. Aetena’s current criteria for pre-certification of treatment with IVIg or SCIg can be found here:
http://www.aetna.com/cpb/medical/data/200_299/0206.html

Your Neurologist must show you have either GBS or CIDP to be pre-certified. Use of the proper ICD-10 coding can help get your prescription approved as medically necessary.

Several other appeal options are described here:
https://forum.gbs-cidp.org/topic/negative-spinal-tap-still-cidp

If you can give us the exact name of your policy, maybe someone in these forums has experience they are willing to share with you.