Re: Infusion Copay Question

[Guest guest]

Hi Patty,

I was on Remicade until just recently and it was done in the doctor's office, he

has quite a setup, and everyone I know in my area (Philadelphia) gets it at

their doctor's office. If you really want to remain on it, would you consider

changing doctors to one that does it in their office. Sorry but it's the only

answer I can think of. mary in pa

[ ] Infusion Copay Question

Hi,

I'm running into an insurance issue with Remicade infusions, and so I'm

wondering if anyone else has run into this problem. My insurance copays

changed recently, and now the hospital where I get my infusions wants to

charge a $300 hospital copay for each infusion - which I get every six

weeks. (It's applied to the outpatient portion of the bill - not the

pharmacy part which is the bulk of the bill!) I cannot afford $300 every

six weeks, and so I will probably have to go off Remicade. I've already

tried asking my rheumy if she'll do it in her office, and she said no. I've

contacted Centocor's patient programs, and got nowhere there because they

say the medicine is paid at 100% after the deductible - which is technically

true. Any other suggestions are welcomed because I'd like to stay on

Remicade. Thanks,

Patty

[Guest guest]

What are the other options you would have for infusions? Would a home health

nurse be cheaper than the hospital?

*~ Kami ~*

[ ] Infusion Copay Question

Hi,

I'm running into an insurance issue with Remicade infusions, and so I'm

wondering if anyone else has run into this problem. My insurance copays

changed recently, and now the hospital where I get my infusions wants to

charge a $300 hospital copay for each infusion - which I get every six

weeks. (It's applied to the outpatient portion of the bill - not the

pharmacy part which is the bulk of the bill!) I cannot afford $300 every

six weeks, and so I will probably have to go off Remicade. I've already

tried asking my rheumy if she'll do it in her office, and she said no. I've

contacted Centocor's patient programs, and got nowhere there because they

say the medicine is paid at 100% after the deductible - which is technically

true. Any other suggestions are welcomed because I'd like to stay on

Remicade. Thanks,

Patty

[Guest guest]

Have you checked around to see if any other rheumatologists in your area do

the infusions in an infusion center instead of the hospital? My doctor has

an infusion center attached to his practice. I only pay my normal $5 copay

each time. (same as for a doctor visit)

Chrissie

[ ] Infusion Copay Question

Hi,

I'm running into an insurance issue with Remicade infusions, and so I'm

wondering if anyone else has run into this problem. My insurance copays

changed recently, and now the hospital where I get my infusions wants to

charge a $300 hospital copay for each infusion - which I get every six

weeks. (It's applied to the outpatient portion of the bill - not the

pharmacy part which is the bulk of the bill!) I cannot afford $300 every

six weeks, and so I will probably have to go off Remicade. I've already

tried asking my rheumy if she'll do it in her office, and she said no. I've

contacted Centocor's patient programs, and got nowhere there because they

say the medicine is paid at 100% after the deductible - which is technically

true. Any other suggestions are welcomed because I'd like to stay on

Remicade. Thanks,

Patty

------------------------------------

[Guest guest]

Patty-

I have a friend whose wife works in a pharmacy and she does infusions

- for cancer and RA. I'm in Northern CA but surely other pharmacies

do this???

Amber in CA

>

[Guest guest]

i am confused the hmo or medical organization you have for coverage is the one

who sets the copay rate, not the hospital . if that is the copay rate you might

want to look to change companies for your medical coverage , if this is the rate

from  your hmo or from medicare , then you are probably up the creek without a

paddle . hospitals can not charge you any higher than the copay rate set up by

your medical coverage

From: coops1mom <welshclan@...>

Subject: [ ] Re: Infusion Copay Question

Date: Monday, July 7, 2008, 10:02 AM

Patty-

I have a friend whose wife works in a pharmacy and she does infusions

- for cancer and RA. I'm in Northern CA but surely other pharmacies

do this???

Amber in CA

>