Question about copay assistance

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dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 4/12/2011 4:19 PM (GMT -6)   
Are their ways for copanies of some of these meds to assist with costs? I am on medicare at the moment but co pays can still be pricey and I am going to be getting married and when married I fear my additional assistance (medicaid) will be taken away.  I know we are having financial issues here at the moment too where my fiance's ssi was taken away since now 18 months after getting SSI they say his 50% VA disability it plenty to live in with 2 kids.  So they expect 857.00 to be enough...we had been getting his ssi for 547 for some months.  Since his total disability claim through SSI he no longer really does side jobs (he use to own his own PC business).  He moved here to Oregon while still dating the mother of his children and her family was from here and there were some reasons they came back here from maine.  he never made even half of what he did in Maine...
 
I am on Pentasa (8 of the 500mg tabs daily), Entocort (9mg), Humira weekly, Singulair (for allergies and asthma 10mg/day), birth control pills, Proair inhaler, Nebulizer for asthma, Amatryptaline (25mg/day), Tizanadine (8-12mg day), oxycodone prn for pain, hycosamine (sp?), lomotil and that is not including all of my supplements.  In oregon I have QMB which means they cover my monthly medicare payment as well as my doc copays, med test copays and on it I also am on a low price Rx plan (when I hit a certain amount for the year then my meds are no copay) but at this time my non generics are 6.40 per script per month and generics are 2.50 per script per month.  due to my meds I reach my yearly max in 3-4 months. 
 
I am so concerned (and 1 reason we have yet to decide when we are going to get married) that I will lose this if we get married.  combined next month alone we are going to struggle to make our normal bills and we have already cut extraneous things from our budget...i.e have a cheaper cell plan dropped chan from cable bill etc..
 
If anyone knows of info whether you have hadthese types of situations yourself or know of any assistance programs please help me out so I can do some homework

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 4/12/2011 4:25 PM (GMT -6)   
I know Humira has copay assistance. Just google humira copay assistance and you can find info on it.
Becky

Crohn's since 1997
Surgeries: 2 Bowel resections, appendix & gallbladder removed
Pulmonary Emboli & Pneumonia 2009
Currently on Humira, Omeprazole, Prozac, Seroquel, Calcium, Vit D, Aspirin, B12 shots

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 4/12/2011 4:36 PM (GMT -6)   
Proair also has one, I got a card at the pharmacy when I filled mine, but it was quite a while ago. I'd talk to the pharmacy next time you fill a prescription and they probably have info if you can't find it yourself.

For Humira there are a couple options
1- Copay assistance at:
http://www.humira.com/global/financial-assistance.aspx

or

2- you can fill out this form to see if you qualify for free Humira sent directly from Abbott (you have to meet income requirements and other things, and your dr has to fill out paperwork as well):
http://www.abbottpatientassistancefoundation.org/pdf/HUMIRA_PAP_Form.pdf


Good luck!
Becky

Crohn's since 1997
Surgeries: 2 Bowel resections, appendix & gallbladder removed
Pulmonary Emboli & Pneumonia 2009
Currently on Humira, Omeprazole, Prozac, Seroquel, Calcium, Vit D, Aspirin, B12 shots

dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 4/12/2011 5:18 PM (GMT -6)   
Thank you I had seen the one for Humira but no others yet so still trying to find information
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 4/12/2011 8:02 PM (GMT -6)   
If you go into the chronic pain forum there's a 101 post at the top that lists places to look into for healthcare expense help.
Becky

Crohn's since 1997
Surgeries: 2 Bowel resections, appendix & gallbladder removed
Pulmonary Emboli & Pneumonia 2009
Currently on Humira, Omeprazole, Prozac, Seroquel, Calcium, Vit D, Aspirin, B12 shots

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 4/12/2011 8:04 PM (GMT -6)   
Thought there would be more info, but they list these websites:

http://www.pparx.org

http://www.needymeds.org

www.yourrx.com
Becky

Crohn's since 1997
Surgeries: 2 Bowel resections, appendix & gallbladder removed
Pulmonary Emboli & Pneumonia 2009
Currently on Humira, Omeprazole, Prozac, Seroquel, Calcium, Vit D, Aspirin, B12 shots

dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 4/12/2011 8:59 PM (GMT -6)   
thank you so much for the help will check them out
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987

NY Veggie
Regular Member


Date Joined Apr 2011
Total Posts : 280
   Posted 4/13/2011 3:53 AM (GMT -6)   
dragonfly
you already have the best deal with medicare with extra help with the lowest drug co-pays BUT in case when you get married they take you off QMB cause you have too much income or money in the bank there is still the QI1 (qualified Individual 1) that will still pay for the part B and D.. and you may still qualify for extra help (this is why many people don't get married that have SSD btw)

AND I can help you with Pentasa...They have a program called ShireCares and I do believe you would qualify for free Pentasa.. I had to do that when I hit the donut hole with medicare with my SSD.. ShireCares.com 1-888-227-3755

It's a bit of a pain with them because they have to fax your GI every 3 months and he has to tell them 'yea she still needs her meds' and then they send you 3 months at a time and then every year you have to do all the financials with them again to get approval for the next year.. but all this is worth it cause it's free instead of $600/month... you might have to keep calling over and over before you get them mailed to you every 3 months but it's STILL worth it. I could never keep taking Pentasa if it wasn't for this program
NY Veggie
Crohn's, Migraines, Fibromyalgia, Hypothyroid, Polychondritis, Pericarditis, Anemia, Depression, PTSD
Lacto-Vegetarian Low Residue Diet
Solgar V-75, Gentle Iron, Calcium, Vit D, Flaxseed Oil, B2, Biotin, B12 shot, Turmeric
Pentasa, Metaprolol, Gabapentin, Synthroid, Omeprazole, Flexerol, Zocor, Xanax, Fiorinal
Was on Entocort, INH, Prednisone, Prednisolone, Cipro, Flagyl
1st surgery in May
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