HUmira cost/ insurance

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Veteran Member

Date Joined Sep 2006
Total Posts : 2527
   Posted 2/24/2009 7:55 AM (GMT -7)   
Hello all,
I know I havent been on much recently my crohns is doing pretty well inspite of all the stress I am going through.  I had my date in court last week for my divorce.  My exhusband is now thinking of removing me from his medical insurance.  I said  I would pay my portion to keep me on which he agreed to do.  My concern is there have been lay offs at  his work and if this occurs I can be on cobra for a while but then what?  Does state insurance cover Humira?  I am on disability and get food stamps now as well but My biggest fear is that if I need to go on medicade Humira will not be covered and it is the only med that seems to keep me in tolerable control. 
Oh I also see a pain specialist now and the oxyfast(it is liquid vicodin) seems to help control my nighttime pain reasonably well.  They wanted something for me that wasnt in a time release form since I dont have much of my colon and missing some of my small bowel.  Theother option was something like the fentanyl patch again which i preffered not to do since the pain isnt constant.  I just mix 0.25ml with 1 oz of liquid and down the hatch and since it is liquid it is fast acting.
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

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 2/24/2009 10:31 AM (GMT -7)   
Wow this is wierd but I was just thinking about you this morning and wondering what was up with you. I figured since we hadn't heard from you, you were doing well Crohnwise.

I don't have any answers on the Humira as I am not on it or Medicade. Just wanted to say hi. Hopefully someone with answers will be along soon.

Good luck,
Gail *Nanners*
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Veteran Member

Date Joined May 2005
Total Posts : 4219
   Posted 2/24/2009 11:28 AM (GMT -7)   
dragonfly - didn't know you were getting a divorce. Sorry it has come to this but hope you find some happiness in the long run. Do you have a lawyer for your divorce? As part of alimony it can be stipulated that your former husband has to keep you on his plan. I understand that he agreed to it for now but I would get it put in the order so he can't change his mind after.

I don't know about state or federal insurance plans but I would assume that if something is "medically necessary" that they would need to cover it.

I'll be thinking about you.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too 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 also take a birth control pill to allow some fun in my life.

Veteran Member

Date Joined Dec 2005
Total Posts : 1768
   Posted 2/24/2009 3:48 PM (GMT -7)   
Another thing you might look into just in case your insurance doesn't cover Humira is help from the drug company. I know that some drug companies do help patients who don't have insurance. Just a thought...

29 yr old female-dx with CD in '97 after emergency resection, 2nd surgery '05, currently on Humira, Prilosec, Wellbutrin

Veteran Member

Date Joined Sep 2006
Total Posts : 2527
   Posted 2/24/2009 5:15 PM (GMT -7)   
Yes it is already over and done with I had a lawyer but my ex was refusing the whole alimoney thing and after him putting me down etc I just wanted him out so I am getting nothing from him and even my lawyer agrgeed with him since I have had the crohns longer than I knew him.

Yes my thought is the drug company as well I just want to gather my options so if I am put in that situation i can get the ball rolling as for getting things in order on the humira
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

Veteran Member

Date Joined Apr 2008
Total Posts : 1753
   Posted 2/24/2009 5:16 PM (GMT -7)   
Humira does offer financial assistance actually. Their card covers 1200 of whatever leftover the insurance company won't so I don't have to pay anything for it at the moment. There are also a lot of other medicine assistance programs too. I think if you just google Rx assist and medicine financial assistance you should find a lot of them.
I'm sorry to hear you're going through all of this...I hope everything works out.
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."

Veteran Member

Date Joined Jul 2005
Total Posts : 733
   Posted 2/24/2009 8:16 PM (GMT -7)   
My Humira copayments (what Medicare wouldn't cover) were paid in full by the

Patient Access Network Foundation

They're really easy to work with, and their webpage should give you a quick idea if you qualify. I would guess that you qualify with flying colors, so it's worth checking out.

Good luck with everything!
27f, dx'd CD July '05 after 6 fistula/abscess surgeries
Remicade '05 through '08, with no other maintenance meds
Noticing a real difference with a Gluten-Free diet.
Currently on:
Cimzia (loading doses 2-12-09)
Probiotics, Digestive Enzymes, and Prednisone

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