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Regular Member

Date Joined Jan 2008
Total Posts : 20
   Posted 6/13/2008 11:19 PM (GMT -6)   
I have no clue why the remi will be so much. At first the Dr. office said it'd be $50 for the drug and then a $35 office visit. Now they said it isn't a "normal" office visit and that we haven't met our out of pocket of 5k so it'll be $400 each time. I guess until we make 5k out of pocket. I have no clue why that is because our insurance is telling us the $50 and then the $35. I'm at a bind now of "should I trust my insurance and just send them the bill" or "what in the world should I do?"

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   Posted 6/13/2008 11:38 PM (GMT -6)   
If the insurance is provided through your work, you might check with your company's benefits coordinator to see if they can help you sort it out.
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.

Regular Member

Date Joined Oct 2007
Total Posts : 320
   Posted 6/13/2008 11:41 PM (GMT -6)   
Ok, I don't live in America, but from what I constantly read on the forums, the Remicade is often around $50 and the office visit $35, but then many people get bitten with a $300 "infusion centre" fee which is out of pocket and not covered by many people's insurance.

With any corporation or company, in Australia or America or anywhere - write them a letter with your questions and send it via registered post so someone from the company has to sign for it (so you can prove it arrived). An official response in paper is very hard for them to back out of.

Am sure others will correct me if I have gotten anything wrong.

In the mean time, just pay if you can. The sooner your wife gets into remission, the better everything will be and you will be glad you spent the money.
"We are dreamers, shapers, singers and makers..." - Elric, Technomage
  • 28yo male. Brisbane, Australia. Diagnosed at 16yo. Currently enjoying severe pan-colitis.
    - Participating in the Golimumab trial as of 1st May, 2008;
    - 2x Colazide, twice a day; 25mg of 6-MP a day; 1xAllopurnol;
    - 1x teaspoon of Metamucil 3 times a day;
    - 1x BIOCeuticals UltraBiotic 45 + 1x SB FlorActiv twice a day.

Regular Member

Date Joined Jan 2008
Total Posts : 20
   Posted 6/13/2008 11:44 PM (GMT -6)   
I tried that today and she offered little help. My place of employment isn't very "by the book" on standards.
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