Grrrr....copays on Dr visits, prescriptions more than doubled!

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Meesh
Veteran Member


Date Joined May 2006
Total Posts : 619
   Posted 2/16/2009 4:36 PM (GMT -6)   
Okay, I know, I know, I am grateful to have insurance, and paying $45 for Lialda beats paying $550, but that's not the only top-tiered medication I am on, not to mention the stuff my husband and daughter take. I need to find an additional $100+ a month in the budget for medications, more during months when anyone in the family sees a doctor, and we've already cut back on a ton of stuff when my business slowed down and my husband's company cut everyone's pay 5% to avoid lay-offs (which I am FINE with, really, it beats them having to lay-off people). My specialist copays tripled from $10 to $30, top tier drugs increased from $25 to $45 and wouldn't you know it, just about all my meds are top-tier prescriptions.

I sure hope the economic stimulus works and works fast and we get of this predicament as soon as possible. I am really trying not to stress about it because I know where that will get me.

Just venting, thanks for listening.
46 yr old female, dx'd UC April 27, 2006; mild arthritis in lower back, dx'd May 2008; Osteopenia dx'd 6/08 Finally achieved remission mid October 2008!!

13 Remicade infusions: 1st: 7/21/07; most recent: 1/21/09; Current meds & supplements: Lialda, 4 tabs in the morning; Xanax as needed (rarely); Rowesa and/or Canasa; multivitamin w/folate; Culturelle; Fish oil capsules, calcium chews and/or Tums; Vitamin D;

Past meds: Prednisone 4/06-4/08; Entocourt EC; Asacol; Colazal; Venofer (iron) injections Dec '07; Imuran (extremely bad reaction 2/07); Protonix; Lexipro


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 2/16/2009 5:03 PM (GMT -6)   
It's a scary time. I am grateful, thankful and also hope we can get through this soon. I hope it does not get worse before it gets better.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Probiotics (Ultimate Flora, 50 billion). Doing much better, but still having some bad days. 


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 2/16/2009 5:58 PM (GMT -6)   
Can you switch to mail order for more discounts?
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.


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 2/16/2009 6:03 PM (GMT -6)   
good idea, if you're not already using it. I pay $50 for Asacol via mail order (90 day supply) so maybe you are. Otherwise is would be $150.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Probiotics (Ultimate Flora, 50 billion). Doing much better, but still having some bad days. 


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 2/16/2009 6:30 PM (GMT -6)   
I'm right there with you Meesh. In the past year or so, my prescription co-pays have gone from orginally $2, then to $5 and now they are $10 for brand name and $5 for generic. That in itself isn't bad but it adds up because I take so many medications not to mention my hubby is now on medication as well as my son and daughter. Then our office co-pays went from $5 to $25. I was actually able to claim my co-pays on my tax return this year. Forget about even going to the ER because if I am not admitted, it costs $100. My co-pays are going up and who knows what our future holds seeing since my husband works at Ford Motor Company.
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-second series starts 2/17, OA in my fingers -Celebrex, Tylonel Arthritis and Voltaren Gel
To help Healingwell - click here: DONATE
 
 
 
 

 
 


Meesh
Veteran Member


Date Joined May 2006
Total Posts : 619
   Posted 2/16/2009 7:02 PM (GMT -6)   
I think it may be time to investigate the mail order option -- it does take more planning, but I think I can get the 90 day supply for the same as a monthly copay (unless they changed that as well). Thanks for the suggestion -- I'll give my GI a call about that.
Meesh
46 yr old female, dx'd UC April 27, 2006; mild arthritis in lower back, dx'd May 2008; Osteopenia dx'd 6/08 Finally achieved remission mid October 2008!!

13 Remicade infusions: 1st: 7/21/07; most recent: 1/21/09; Current meds & supplements: Lialda, 4 tabs in the morning; Xanax as needed (rarely); Rowesa and/or Canasa; multivitamin w/folate; Culturelle; Fish oil capsules, calcium chews and/or Tums; Vitamin D;

Past meds: Prednisone 4/06-4/08; Entocourt EC; Asacol; Colazal; Venofer (iron) injections Dec '07; Imuran (extremely bad reaction 2/07); Protonix; Lexipro


UC Dude
Regular Member


Date Joined Aug 2005
Total Posts : 438
   Posted 2/16/2009 7:49 PM (GMT -6)   
Thank god for flex spending accounts! I signed up for $5k this year.
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5190
   Posted 2/16/2009 9:02 PM (GMT -6)   
Yep, Meesh, I'm worried, too. I went on generic Colazal in Sept. because my insurance will no longer cover an original med 100% once the generic comes on the market. Well, that blasted generic made me sick & I even started to flare by early Dec. My gastro, who subspecializes in IBD treatment, told me then that many UCers are having trouble with generic Colazal. So, I went back on original Colazal, but now I have a $242 co-pay for each 280 capsule Rx. As for doctor's office visits, none of the IBD gastros here accept insurance assignment. (Other members from my area have mentioned this in earlier posts.) The irony of all this is that I'm getting closer to retirement, when I'll be obliged to pay $98/month for Medicare Part B, which most doctors here do not accept, either. #@%&*!!!!!!!!!!!!!!!! My feeling is that doctors at every level should be legally required to accept/treat a minimum no. of insured patients as a condition for periodic renewal of their licence to practice. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.]) P.S. It's WONDERFUL to read that you achieved remission at last!!!!! You are a real trooper.

Scrap Girl
Veteran Member


Date Joined Jan 2007
Total Posts : 653
   Posted 2/16/2009 9:25 PM (GMT -6)   
Old Hat, you might check out Salix.com's website for colazal because they have a card you can get that pays up to $900 of your copayment. That's the only reason I'm still taking it instead of switching to the generic.

Diagnosed with UC in Feb. 2005
 
Colazal (9 a day)
Folic Acid
Biotin
Calcium
Remicade


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 2/16/2009 9:33 PM (GMT -6)   
Old Hat - have your doc call/write you insurance company stating that it is medically necessary for you to take the name brand because the generic made you ill. They will most likely cover it at the proper copay then. I had the same problem w/ acid blockers - generic made me sick, name brand didn't. Doc wrote Ins. Co., Ins. Co. paid.
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.


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5190
   Posted 2/16/2009 10:37 PM (GMT -6)   
Thanks very much, Scrap Girl & Fitzy. My pharmacist did say, though, that some insurers STILL refuse to cover the original med's cost in full, regardless of patient's bad experience with the generic. So appealing to them is not a sure-fire path to rescue. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])
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