Humira Rx assistance? I am confused again

[Guest guest]

OK so my rummy-rheumy said he was calling my insurance for pre authorization for

Humira. I have ChampVA and Medicare. My ChampVA has a mail med part so I did

not do a Medicare med part. ChampVA allows me to get meds free is I do thru

mail, altho if I go to certain pharmacies (Like KMart is the only one I can

think of here) then I pay like 20-25% of the med cost. I called my med by mail

place and they told me they have Humira, I do not remember now, they also have

enbrel and they might have said one of them I have to mix if they send it?

Ayway my doc said he was going to call my insurance. I do not know who he did

call or what he discussed- I do know his office has said they do not bill

supplental insurance or second insurance....but today I got a form for Humira

support application? And it sounds like he is trying to sign me up for Med

assistance for Humira from ABbot? He did not include a letter in heree to me

explaining anything, but he did send a 3 page form that he filled out most of

the info on. I do not think if I have meds by mail that I can apply for med

assistance from ABbot. I am not sure what he is doing, and not even sure now if

I wanna call him and ask him. UG!

[Guest guest]

Hi Dreamer, Sounds like Humira may not be covered by either insurance plan

Champ/VA nor Medi Part D. If it's not on their formulary.(list of covered meds)

then they won't pay for it. I understand that it is very expensive. I am on

Medi Part D, but have assigned my coverage over to a HMO. They cover all drugs

that Medi Part D covers. I looked Humira up on their formulary and it is not

covered, Enbrel is with prior authorization, but not Humira. Sounds like your

Rheumy has applied to Abbot for free Humira and that is great. Hope you can get

it. Take care

dreamer_plus <dreamer_plus@...> wrote: OK so my rummy-rheumy said he was

calling my insurance for pre authorization for Humira. I have ChampVA and

Medicare. My ChampVA has a mail med part so I did not do a Medicare med part.

ChampVA allows me to get meds free is I do thru mail, altho if I go to certain

pharmacies (Like KMart is the only one I can think of here) then I pay like

20-25% of the med cost. I called my med by mail place and they told me they

have Humira, I do not remember now, they also have enbrel and they might have

said one of them I have to mix if they send it?

Ayway my doc said he was going to call my insurance. I do not know who he did

call or what he discussed- I do know his office has said they do not bill

supplental insurance or second insurance....but today I got a form for Humira

support application? And it sounds like he is trying to sign me up for Med

assistance for Humira from ABbot? He did not include a letter in heree to me

explaining anything, but he did send a 3 page form that he filled out most of

the info on. I do not think if I have meds by mail that I can apply for med

assistance from ABbot. I am not sure what he is doing, and not even sure now if

I wanna call him and ask him. UG!

[Guest guest]

But I don't pay for my meds by mail from ChampVA

- In , " dreamer_plus " <dreamer_plus@...> wrote:

>

> OK so my rummy-rheumy said he was calling my insurance for pre authorization

for Humira. I have ChampVA and Medicare. My ChampVA has a mail med part so I

did not do a Medicare med part. ChampVA allows me to get meds free is I do thru

mail, altho if I go to certain pharmacies (Like KMart is the only one I can

think of here) then I pay like 20-25% of the med cost. I called my med by mail

place and they told me they have Humira, I do not remember now, they also have

enbrel and they might have said one of them I have to mix if they send it?

> Ayway my doc said he was going to call my insurance. I do not know who he did

call or what he discussed- I do know his office has said they do not bill

supplental insurance or second insurance....but today I got a form for Humira

support application? And it sounds like he is trying to sign me up for Med

assistance for Humira from ABbot? He did not include a letter in heree to me

explaining anything, but he did send a 3 page form that he filled out most of

the info on. I do not think if I have meds by mail that I can apply for med

assistance from ABbot. I am not sure what he is doing, and not even sure now if

I wanna call him and ask him. UG!

>

[Guest guest]

I have no idea if it is covered by Medicare part D cuz I did not sign up for

Medicare part D becuz I have the free Meds by Mail thru my ChampVA. and what my

meds by mail does not have, I can still get from a pharmacy if I pay 25%.

I myself called my meds by mail 2 weeks ago when my doc asked me which I wanted

to try- Remicaide, Enbel or Humira. My meds by mail said they cover all 3, with

no preauthorization, just send them the Rx.

My meds by mail is a government program, (nad I also do have Medicare A &

I doubt thtat since I have the meds by mail, that Abbot is going to send me

Humira.

-- becuz my meds by mail DOES cover the Humira, 100% at no cost to me.

- In , linda yeakel <lindayeakel@...> wrote:

>

> Hi Dreamer, Sounds like Humira may not be covered by either insurance plan

Champ/VA nor Medi Part D. If it's not on their formulary.(list of covered meds)

then they won't pay for it. I understand that it is very expensive. I am on

Medi Part D, but have assigned my coverage over to a HMO. They cover all drugs

that Medi Part D covers. I looked Humira up on their formulary and it is not

covered, Enbrel is with prior authorization, but not Humira. Sounds like your

Rheumy has applied to Abbot for free Humira and that is great. Hope you can get

it. Take care

>

> dreamer_plus <dreamer_plus@...> wrote: OK so my rummy-rheumy said he was

calling my insurance for pre authorization for Humira. I have ChampVA and

Medicare. My ChampVA has a mail med part so I did not do a Medicare med part.

ChampVA allows me to get meds free is I do thru mail, altho if I go to certain

pharmacies (Like KMart is the only one I can think of here) then I pay like

20-25% of the med cost. I called my med by mail place and they told me they

have Humira, I do not remember now, they also have enbrel and they might have

said one of them I have to mix if they send it?

> Ayway my doc said he was going to call my insurance. I do not know who he did

call or what he discussed- I do know his office has said they do not bill

supplental insurance or second insurance....but today I got a form for Humira

support application? And it sounds like he is trying to sign me up for Med

assistance for Humira from ABbot? He did not include a letter in heree to me

explaining anything, but he did send a 3 page form that he filled out most of

the info on. I do not think if I have meds by mail that I can apply for med

assistance from ABbot. I am not sure what he is doing, and not even sure now if

I wanna call him and ask him. UG!

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