Confirmed victory

Horizon Blue Cross Blue Shield of NJ: Reverse my husband's death sentence

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Neil and I have been married for 22 years and have two beautiful young daughters. Our worlds were turned upside down in 2005, when he was diagnosed with a blood cancer called multiple myeloma in 2005. Neil thrived under his treatment plan until recently -- the chemotherapy just stopped working. 


The doctor said that Neil needed two transplants in order to put his cancer in back in remission -- one with his own cells and a second with a donor's cells. The first transplant was completed on March 1st. Three days later I called the doctor to find out if a donor had been identified for the second transplant, only to find out that our insurer, Blue Cross Blue Shield of New Jersey, won't let it happen! 

Blue Cross Blue Shield has the nerve to say that my husband's transplant "was not medically necessary." I can assure you that this 2nd part of the transplant is not only medically necessary, it is essential to saving my husband’s life. And time is of the essence if the second transplant isn't completed within 8 weeks of the first transplant, the process will not work and our insurer will have sentenced Neil to death. Since then, we've lost valuable time trying to find a donor match for Neil.

I got a letter in the mail saying that I had the right to appeal the decision within 72 hours. I have called Blue Cross Blue Shield every day since then, but no one has ever returned my calls. I have never reached a live person to discuss this denial.

Neil is being sent home from the hospital TODAY, and I am beginning to lose hope. Blue Cross Blue Shield New Jersey must immediately reverse their denial of the procedure and offer an expedited process to find a donor match so Neil can complete the second part of his transplant as planned.

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