Re: New here with insurance frustrations!

[Guest guest]

Hi Janet,

The folks that issued the debit card to me also put me in touch with a

foundation that is picking up the difference between my insurance and the cost

of the med.  give them a call and ask about Healthwell Foundation.  Now that I

have maxed my annula out of pocket expenses, the insurance company is picking up

the entire fee.  Best wishes and good luck..

 Mike McBride

  " Blessed is he who, with a hunger that is never satisfied, day and night

throughout this present life makes prayer and the psalms his food and drink, and

strengthens himself by reading of God's glory in Scripture. Such communion will

lead the soul to ever-increasing joy in the age to come. " St. of Karpathos.

________________________________

From: bestfriendsobedience <janet@...>

Sent: Wednesday, August 26, 2009 7:50:42 AM

Subject: [ ] New here with insurance frustrations!

 

Hi everyone, my name is Janet. I received my first Xolair injection on 9/28/05

and it has been a godsend. 4 years without hives is a record and that's been 4

years without any significant prednisone use, which is a very, very good thing.

My asthma has been relatively well controlled with meds all along, but my usual

twice yearly bronchitis episodes seem to be minor or a thing of the past.

The insurance company that I had from my first injection until the March,

charged me a $20 copay every 2 months. Good deal! The insurance I had from March

2009-June 30 2009 required NO copay - even better! Somehow, I wound up with new

insurance as of 7/1 that now has me paying 10%. Since I'm on the highest dosage

every 2 weeks (I get 2.5 injections), this is a bit painful. I got the Xolair

debit card, which will help some, but ouch! The injection pain (depends on who

gives it) is nothing compared to the pain to my wallet.

I've been confused about the exact cost of Xolair, as I was under the impression

that it was <$20K a year, but it appears that it is much higher. My most recent

insurance claim from Accredo was for $4214 which they said was a month's supply.

Can that be right? $50K a year?!?!?!

Looking forward to finding answers, hearing stories, and hopefully staying on

Xolair!

[Guest guest]

Thanks Mike. Even though I'm whining about the few hundred $ a month,

I don't qualify. My insurance enrollment period comes up again in

October so I'm going to see if I can get something changed for the

better then. The debit card will carry me through until then and I'm

very grateful for it.

On Aug 26, 2009, at 8:12 PM, McBride wrote:

> Hi Janet,

>

> The folks that issued the debit card to me also put me in touch with

> a foundation that is picking up the difference between my insurance

> and the cost of the med. give them a call and ask about Healthwell

> Foundation. Now that I have maxed my annula out of pocket expenses,

> the insurance company is picking up the entire fee. Best wishes and

> good luck..

> Mike McBride

> " Blessed is he who, with a hunger that is never satisfied, day and

> night throughout this present life makes prayer and the psalms his

> food and drink, and strengthens himself by reading of God's glory in

> Scripture. Such communion will lead the soul to ever-increasing joy

> in the age to come. " St. of Karpathos.

>

> ________________________________

> From: bestfriendsobedience <janet@...>

>

> Sent: Wednesday, August 26, 2009 7:50:42 AM

> Subject: [ ] New here with insurance frustrations!

>

>

> Hi everyone, my name is Janet. I received my first Xolair injection

> on 9/28/05 and it has been a godsend. 4 years without hives is a

> record and that's been 4 years without any significant prednisone

> use, which is a very, very good thing.

>

> My asthma has been relatively well controlled with meds all along,

> but my usual twice yearly bronchitis episodes seem to be minor or a

> thing of the past.

>

> The insurance company that I had from my first injection until the

> March, charged me a $20 copay every 2 months. Good deal! The

> insurance I had from March 2009-June 30 2009 required NO copay -

> even better! Somehow, I wound up with new insurance as of 7/1 that

> now has me paying 10%. Since I'm on the highest dosage every 2 weeks

> (I get 2.5 injections), this is a bit painful. I got the Xolair

> debit card, which will help some, but ouch! The injection pain

> (depends on who gives it) is nothing compared to the pain to my

> wallet.

>

> I've been confused about the exact cost of Xolair, as I was under

> the impression that it was <$20K a year, but it appears that it is

> much higher. My most recent insurance claim from Accredo was for

> $4214 which they said was a month's supply. Can that be right? $50K

> a year?!?!?!

>

> Looking forward to finding answers, hearing stories, and hopefully

> staying on Xolair!

>

>