Скачать или смотреть A Young Mom Is Denied Cancer Treatment While Raising a Child | Insurance vs Medical Necessity

In this video, a social worker advocates for a patient with metastatic breast cancer after her insurance company denied coverage for Enhertu, a standard-of-care cancer treatment.

The patient is already undergoing chemotherapy, experiencing severe side effects, and caring for her first grader. Despite this, the insurance company denied the medication based on so-called “medical necessity” and pushed the burden of appeal back onto the patient — forcing her to spend precious time and energy fighting paperwork instead of focusing on her health and family.

In this case, we challenge the insurance denial, demand an expedited medical review, and request that the social worker be designated as the primary contact to protect the patient from further harm and stress.

This video highlights the real-world consequences of insurance denials, prior authorization barriers, and how patient advocacy can make a difference in life-threatening situations.

If you or someone you love has experienced an insurance denial for cancer treatment, you are not alone.

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