D*mn Health Insurance

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Regular Member

Date Joined Aug 2007
Total Posts : 350
   Posted 2/11/2009 5:49 PM (GMT -6)   
So I found out today that my health insurance is no longer going to cover my Tysabri as it has in the past. First it is now considered specialty drug meaning it would coast me $200 a month to get it and now they have taken the Cleveland Clinic off of there in network provider which would cost me 30% of the cost of the treatment a month. I figured it would cost me $2600 a month. Not sure what I m going to do at this point. Tysabri has been the best thing that has happened for me since April shakehead

Veteran Member

Date Joined Apr 2008
Total Posts : 1753
   Posted 2/11/2009 6:02 PM (GMT -6)   
That just happened to me LAST NIGHT with humira. I cannot believe insurance companies sometimes! You might try having your doctor write a recommendation against the insurance company's decision. It works sometimes...
I'm really sorry that happened. It just doesn't make sense to me that they would take off our medicines that are helping us stay better. It's going to cost them more in the long run.
20 years old, Diagnosed with moderate to severe Crohn's and Colitis in May of 2008.
Currently taking:
Prednisone 5 mg, pentasa 2 pills 4x a day, bentyl as needed, omeprazole in the morning, prenatal multivitamin, humira every other week, and good probiotics.
Surgery for ectopic pregnancy most likely the result of severe Crohn's inflammation in July of 2008.
Attempting a diet without refined sugars, high fat content, bleached or bromated flour, most dairy, red meat, and avoiding anything spicy like the plague. Also refuse to eat anything with trans fat or high fructose/corn syrup.
"He who has a why to live for can bear with almost any how."

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