Guest guest Posted September 18, 2003 Report Share Posted September 18, 2003 Is Remicade covered by most insurance or is it considered experimental by them? (excuse) -----Original Message-----From: Deb Laliberte [mailto:dlaliberte@...]Sent: Wednesday, September 17, 2003 9:01 PMRheumatoid Arthritis Subject: Remicaide Started Hi, First of all thank you for all your input on Remicaide Infusion. I have been approved by the insurance company and had my first infusion yesterday. I woke up today and was able to walk without hobbling around. I did come home and take a nap yesterday so my hips were sore from to much time in bed, but my knees, ankles, hands and elbows were pain free. I had the feeling that somehow they had put amphetamines (sp) in the IV. I had so much energy today. Am I a nut case who psyched myself into thinking I had the pain or does this stuff work this fast in some patients? I haven't had a day this good in three years. I am tired tonight and feel that I can go to bed and sleep instead of tossing and turning trying to get comfortable, but I don't feel exhausted and was able to come home and do some things instead of just sitting down to fatigued to move. Has anyone else had results like this? Deb Laliberte Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2003 Report Share Posted September 19, 2003 Most insurance companies will cover Remicade under the major medical portion of your coverage. Depending on your coverage, you may have to meet a deductible and pay a percentage of the cost. However, most insurance plans will require pre-authorization for the treatment by your rheumatologist. They may require your doctor to prove that you've tried other (cheaper) therapy without good success before approving the treatment. The other biologics (Enbrel, Humira and Kineret) are typically covered as prescription drugs, and, again, require pre- authorization. There are some plans that don't cover injectable medications at all, or that will only pay 50% of the cost of the drug. Since each of these therapies costs over $1,000 per month the cost adds up quickly. Beth > Is Remicade covered by most insurance or is it considered experimental by > them? (excuse) > -----Original Message----- > From: Deb Laliberte [mailto:dlaliberte@c...] > Sent: Wednesday, September 17, 2003 9:01 PM > Rheumatoid Arthritis > Subject: Remicaide Started > > > Hi, > First of all thank you for all your input on Remicaide Infusion. > > I have been approved by the insurance company and had my first infusion > yesterday. I woke up today and was able to walk without hobbling around. I > did come home and take a nap yesterday so my hips were sore from to much > time in bed, but my knees, ankles, hands and elbows were pain free. I had > the feeling that somehow they had put amphetamines (sp) in the IV. I had so > much energy today. Am I a nut case who psyched myself into thinking I had > the pain or does this stuff work this fast in some patients? I haven't had > a day this good in three years. > > I am tired tonight and feel that I can go to bed and sleep instead of > tossing and turning trying to get comfortable, but I don't feel exhausted > and was able to come home and do some things instead of just sitting down to > fatigued to move. > > Has anyone else had results like this? > Deb Laliberte > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2003 Report Share Posted September 20, 2003 Hello, I have had 3 different insurance companies through the 3.5 years I have been on Remicade. Each company treated differently. For AT & T BC/BS I had to go to my rheumy's office & pay the $10 office co-pay. For MAMSI, I got home health care and paid nothing. Now I have have Trigon/Anthem BC/BS & I go to the local hospital & pay the $100 outpatient co-pay. Take care, in VA~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Most insurance companies will cover Remicade under the major medical >portion of your coverage. Depending on your coverage, you may have >to meet a deductible and pay a percentage of the cost. However, most >insurance plans will require pre-authorization for the treatment by >your rheumatologist. They may require your doctor to prove that >you've tried other (cheaper) therapy without good success before >approving the treatment. > >The other biologics (Enbrel, Humira and Kineret) are typically >covered as prescription drugs, and, again, require pre- >authorization. There are some plans that don't cover injectable >medications at all, or that will only pay 50% of the cost of the >drug. Since each of these therapies costs over $1,000 per month the >cost adds up quickly. > >Beth > > > Is Remicade covered by most insurance or is it considered >experimental by > > them? (excuse) Frustrated with dial-up? Get high-speed for as low as $29.95/month*. *Depending on the local service providers in your area. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2003 Report Share Posted September 23, 2003 Hi Deb, This is in VA. I had the same great response from my first Remicade treatment. I began Remicade in May 2000, about 6 months after I was diagnosed. The rheumy warned me that the great response could have been a placebo effect ... but if I could feel good just believing it I would have done that without an IV infusion! Anyway, I certainly believe you had the pain before! I still take Remicade and I can tell such a difference when it is time for my infusion. Thanks, ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >Hi, >First of all thank you for all your input on Remicaide Infusion. > >I have been approved by the insurance company and had my first infusion yesterday. I woke up today and was able to walk without hobbling around. I did come home and take a nap yesterday so my hips were sore from to much time in bed, but my knees, ankles, hands and elbows were pain free. I had the feeling that somehow they had put amphetamines (sp) in the IV. I had so much energy today. Am I a nut case who psyched myself into thinking I had the pain or does this stuff work this fast in some patients? I haven't had a day this good in three years. > >I am tired tonight and feel that I can go to bed and sleep instead of tossing and turning trying to get comfortable, but I don't feel exhausted and was able to come home and do some things instead of just sitting down to fatigued to move. > >Has anyone else had results like this? >Deb Laliberte Instant message during games with MSN Messenger 6.0. Download it now FREE! Quote Link to comment Share on other sites More sharing options...
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