Insurance problem

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 11/24/2009 6:56 PM (GMT -7)   
Well today I recv'd a letter from my insurance co. and they said that they are moving Asacol into the Tier 3 drug list which is the highest copay. The only Tier 1 is Pentasa right now that is close to Asacol. insurance companies suck sometimes. I'm going to ask my doc and see what he recommends next.
Just wanted to rant
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Precription Folic Acid, Multivitamin, 1000mg Calcium, Vitamin D, Probiotics, Pepcid Complete, Questran,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 7077
   Posted 11/24/2009 10:38 PM (GMT -7)   
What has frustrated me over the years is when a prescription drug is moved to an over the counter product. My kids both were on Zyrtec as a prescription med. Then it was made OTC and instead of a $10.00 monthly co-pay, it cost $28.00 out of pocket. Double that and I was out an additional $36 per month.

I hope if you have to switch to Pentasa that it works well for you.
Moderator Crohn's Disease  & Osteoarthritis Forums
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, asthma, severe allergy and a host of other medical problems.
 


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 11/25/2009 8:21 AM (GMT -7)   
Oh no!! Hope your doctor has some answers that work for you!
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Crohn's Disease for over 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
It's scary when you start making the same noises As your coffee maker.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 11/25/2009 10:51 AM (GMT -7)   
Yup, my insurance just decided to stop covering prevacid. I found out it just came out OTC, OK, its actually $28 instead of my $30 co-pay. Great! Except, its half the strength, so I actually will have to pay $56 per month for the same medication. Just stinks. I'm going to try the half dose and see what happens, but not till after Turkey day!
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 11/25/2009 9:15 PM (GMT -7)   
I'm still appealing my protonix with my insurance company. Honestly, how big is the difference in co-pay? What will it really mean for your budget? Is it the difference of a couple dinners out? Can you make some cut backs to afford it? Your health is your most important asset. If they are still paying for it but just charging you more, I would keep taking it if it works for you. For me, Pentasa works better. I hope you find answers and I do agree, ins. co.'s are so frustrating.
27 Year old married female lawyer.  Diagnosed w/ CD 5 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant but can handle anything cultured and do well w/ lactose pills and lactaid. For Crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 11/27/2009 1:48 PM (GMT -7)   
I probably will continue to take Asacol evven if it does cost more.
Just frustrating with inssurance co. Our heatlh insurance went up 33% and I also heard that Wiscconsin is one of the highest in insurance costs.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Precription Folic Acid, Multivitamin, 1000mg Calcium, Vitamin D, Probiotics, Pepcid Complete, Questran,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


rose481
Regular Member


Date Joined Oct 2009
Total Posts : 66
   Posted 11/27/2009 6:12 PM (GMT -7)   
I feel your pain!  Humana isn't going to cover Pentasa in 2010, so I have to find another PDP for DH.  I know there may be other drugs out there that they do cover, but DH's situation is always precarious and we don't want to do anything to "rock the boat" so to speak.  So I have begun the search.  Besides, the monthly premium for his Humana plan has gone up over 300% since the Medicare drug coverage was implemented! 
New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, December 02, 2016 11:10 AM (GMT -7)
There are a total of 2,731,691 posts in 300,951 threads.
View Active Threads


Who's Online
This forum has 151123 registered members. Please welcome our newest member, Joyce Apuzzo.
346 Guest(s), 11 Registered Member(s) are currently online.  Details
Utah1981, mtm3461, Scaredy Cat, ArtAngel, Girlie, Duffykani, ChickenArise, Traveler, Nosila, straydog, Graytech


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer