just need some help

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happydays
Regular Member


Date Joined Sep 2007
Total Posts : 69
   Posted 2/12/2009 2:52 PM (GMT -6)   
I just got the news that i'll have to pay $750.00 for my remicaid treatment. I have called the Remi program and i'm waiting for a call back to see if they can help but the most they'll give is 3,000.00 and that's not alot but don't get me wrong it will help alot but that's if i can get approved for that much.  I've also tried alot of food diets but they just haven't worked. Is there anything else out there besides surgery just yet? thank ?Thank You Everyone.

Mild case of UC~04   Left Side Colitis~ 05-06  Pancolitis~ 07
 
6-mp 50mg ~ 2 pill a day ~~ Lialda ~ 4 pills a day ~~ Librax 5-2.5mg~3 times a day ~~ Lexapro 20mg ~ 1 a day ~~ Zegerid ~ 1 a day ~~ Birthcontrol ~ 1 a day
 
 
 


happydays
Regular Member


Date Joined Sep 2007
Total Posts : 69
   Posted 2/12/2009 6:20 PM (GMT -6)   
no I'm not getting any free money. I'm tring to get help but I don't know if they'll give it to me. Has anyone taken Humira?
Mild case of UC~04   Left Side Colitis~ 05-06  Pancolitis~ 07
 
6-mp 50mg ~ 2 pill a day ~~ Lialda ~ 4 pills a day ~~ Librax 5-2.5mg~3 times a day ~~ Lexapro 20mg ~ 1 a day ~~ Zegerid ~ 1 a day ~~ Birthcontrol ~ 1 a day
 
 
 


ducridr
Regular Member


Date Joined Apr 2008
Total Posts : 139
   Posted 2/13/2009 4:46 PM (GMT -6)   
happydays - I did my first remi treatment on Feb 4 (while in the hospital). My doc's office contacted Centocor for me who talked to my insurance to determine coverage and then Centocor called me and had me do the paperwork for the Remistart program. The rep said it looks like it shouldn't be a problem to qualify me for the program - but they only look back 14 days so I had to get my paperwork in asap since my first treatment was almost 14 days ago. I have a max out of pocket limit annually w/ my insurance. See if you have this also as it may make things a little easier for you to work with financially. If I can get the full $3200 for Remistart it means I only have to pay approx 2K total/yr out of pocket to reach my annual out of pocket maximum (still a good chunk of change but nowhere near as bad as 5K). I've got my fingers crossed that I can get the full amount. Hopefully you can too and will get good info from your insurance company about annual out of pocket maximum's.

GOOD LUCK!!!
Ducridr - 34 - female

Diagnosed w/ severe pancolitis 11/20/2007

Asacol - 6 (400mg) 2x/day, Xifaxin 2 (200mg) 2x/day, Prednisone 15mg (started at 40mg Nov 08 - again), multi-vitamin, calcium and vit d supplement, potassium supplement, B-12 supplement, Junel FE (BCP),metamucil capsule (1/day)


JingleBell
Regular Member


Date Joined Oct 2008
Total Posts : 80
   Posted 2/13/2009 4:56 PM (GMT -6)   
My doctor wanted me to try Cimzia which is approved for the treatment of Crohns and not UC but works the same as both Remicade and Humira. He talked to the drug rep and they were willing to give me the medicine for free as long as I needed to take it. I opted out and decided to take a more holistic approach but it might be worth looking into.
 


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 2/13/2009 6:37 PM (GMT -6)   

I too just started Remicade, but haven't received a bill from the infusion center yet, just a $45 bill for the medication itself. Two things:

1) Before I received my first infusion, I sent in all the paperwork for the RemiStart program, and was approved. They told me that as soon as I get the EOB from my insurance company I need to mail it to them and they will mail me back a debit card for the out of pocket amount, and I just pay my hospital bill with that. Luckily I have a $1500 out of pocket max and then the insurance pays 100% once that's met, so if RemiStart allows $3000 (which would be technically me paying out of pocket in the hospital's eyes) then I may never have to pay any bills except for the medication copay. You should look into it more and see if this may be the case for you.

2) Where do you get your infusion done? When I set my appointment up, they told me that if the hospital ordered the medication it would cost me $800 per infusion. BUT if I called the prescription insurance company myself and ordered it (my doctor just had to fax over a script) and have them mail it to the infusion center, I would only have to pay a $45 copay, so this is what I did. Perhaps something like this might be an option for you- I was lucky in that the lady I dealt with at the infusion center was very helpful and concerned about saving me money; unfortunately a lot of hospital employees/doctors offices are not like that.

Good luck and I hope you are able to get things sorted out.

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