Posted 8/5/2022 5:49 PM (GMT -8)
I don't know how the Stelera co-pay assistance works, but the Remicade co pay assistance (Jansen Care Path) works like this:
The bill is submitted to insurance and Insurance says how much I need to pay until I meet the out of pocket max.
I submit the amount I have to pay to Jansen and they put the funds on my card
I then pay the provider with the Jansen card.
I think my max out of pocket with insurance is $5000 and after my 1st infusion of the year I hit that. Jansen covers all but $5 of that.
The Remicade co pay assistance goes up to $20,000/year and is not income based. What does the Stelera co-pay assistance cover per year? What is your out of pocket max with insurance?
You might have to suck it up until you are eligible to get a different insurance plan. I don't know if you can get Stelera through drug discount sites like GoodRX (there are several others too), but you could check that out.
High deductible plans have lower premiums, but if you have high medical bills it can bankrupt you.
Good luck with finding the least painful solution.