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Re: My new Rheumy

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I check with the hospitals around here when I was first diagnosed, didn't have

insurance at the time. I found that one offered a 60% discount when paying cash.

The I found that the lab would match and discount the hosipital offered. Still,

it cost a bloody fortune! It might be worth checking.

Stan,

Seattle, Rainy.

[ ] My new Rheumy

I have been having a problem with my regular Rheumy since I switched

insurance from Medicare to Texas Community Care at the first of the year.

His office wouldn't renew the contract with them, so I had to find another

Rheumy or change insurance. This one seems to have a wonderful benefits

package, zero co-pay for scripts ordered through their pharmacy on any

generic, zero co-pay for seeing the PCP, $5 co-pay for eye exam and $150

toward glasses, and a number of other things, dental and all. And, no

premium except for the normal Medicare amount.

I agonized for a while deciding what to do, but even though the Rheumy was

with me for almost 20 years and worked well with me (or so I thought), but I

finally found a local Rheumy that would take the insurance. I saw him this

morning and he wants to switch me to a biologic and get me off Prednisone,

things my other doc didn't do or suggest. He also wanted me to have a hand

x-ray and MRI to tell how much is osteo and how much is RA. I went to the

hospital for the hand tests and they wanted an arm and leg before doing only

the x-rays. It was certainly more than I could pull out of all my bank

accounts. Now I don't know what's going to happen since I couldn't afford

the tests and can't get the doc on the phone so far.

--

Dennis in eastexas

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Hi Dennis:

I sure hope you can get those test done, and not go broke. You must be

so frustrated with all that ins. mess. I hope you can get a better

plan, and have a Rheumy who understands your ins. problems, and works

with you, not against you.

Wishing you pain free days ahead. God Bless you and Betty.

Hugs,

Barbara

>

> I have been having a problem with my regular Rheumy since I switched

> insurance from Medicare to Texas Community Care at the first of the

year.

> His office wouldn't renew the contract with them, so I had to find

another

> Rheumy or change insurance. This one seems to have a wonderful

benefits

> package, zero co-pay for scripts ordered through their pharmacy on any

> generic, zero co-pay for seeing the PCP, $5 co-pay for eye exam and

$150

> toward glasses, and a number of other things, dental and all. And, no

> premium except for the normal Medicare amount.

>

> I agonized for a while deciding what to do, but even though the Rheumy

was

> with me for almost 20 years and worked well with me (or so I thought),

but I

> finally found a local Rheumy that would take the insurance. I saw him

this

> morning and he wants to switch me to a biologic and get me off

Prednisone,

> things my other doc didn't do or suggest. He also wanted me to have a

hand

> x-ray and MRI to tell how much is osteo and how much is RA. I went to

the

> hospital for the hand tests and they wanted an arm and leg before

doing only

> the x-rays. It was certainly more than I could pull out of all my bank

> accounts. Now I don't know what's going to happen since I couldn't

afford

> the tests and can't get the doc on the phone so far.

>

> --

> Dennis in eastexas

>

>

>

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This Rheumy seems to understand the problems. I did finally get a call back

from his nurse and she said they felt ok about my not doing the x-rays and

they do the MRI in-house. I had been apprehensive about not doing what the

new doc wanted and it would look like I didn't want to cooperate.

Fortunately, it's not a problem so I'm still in his good graces. The last

time I heard, x-rays cost about $50, not $650! I think I was getting played

by the hospital, so I'm checking into having it ordered by my PCP so I can

get it done at my regular hospital. They don't always bill me for things.

And, I'm sticking with the plan, not the doctor who thinks money is more

important than the patient.

The Rheumy is supposed to be checking with my insurance about the biological

meds and see which one is covered. He wondered why I wasn't even offered

these meds a long time ago. He wants to get me off prednisone by switching

away from MTX and onto another med. I don't know that one of the biologics

would do that.

Betty is doing ok. Last week, we were told that she has COPD and emphysema,

and has scripts for some expensive (is there another kind?) meds for it. Since

we know the cause of her present condition, we know what she should do and

not do. All her life, she's had sometimes terrible bronchial infections with

no help from our doctors. Thanks for the concern, Barbara.

Dennis in eastexas

On Fri, Feb 27, 2009 at 9:46 AM, Barbara <bcreedon@...> wrote:

>

> Hi Dennis:

>

> I sure hope you can get those test done, and not go broke. You must be

> so frustrated with all that ins. mess. I hope you can get a better

> plan, and have a Rheumy who understands your ins. problems, and works

> with you, not against you.

>

> Wishing you pain free days ahead. God Bless you and Betty.

>

> Hugs,

>

> Barbara

>

>

> >

> > I have been having a problem with my regular Rheumy since I switched

> > insurance from Medicare to Texas Community Care at the first of the

> year.

> > His office wouldn't renew the contract with them, so I had to find

> another

> > Rheumy or change insurance. This one seems to have a wonderful

> benefits

> > package, zero co-pay for scripts ordered through their pharmacy on any

> > generic, zero co-pay for seeing the PCP, $5 co-pay for eye exam and

> $150

> > toward glasses, and a number of other things, dental and all. And, no

> > premium except for the normal Medicare amount.

> >

> > I agonized for a while deciding what to do, but even though the Rheumy

> was

> > with me for almost 20 years and worked well with me (or so I thought),

> but I

> > finally found a local Rheumy that would take the insurance. I saw him

> this

> > morning and he wants to switch me to a biologic and get me off

> Prednisone,

> > things my other doc didn't do or suggest. He also wanted me to have a

> hand

> > x-ray and MRI to tell how much is osteo and how much is RA. I went to

> the

> > hospital for the hand tests and they wanted an arm and leg before

> doing only

> > the x-rays. It was certainly more than I could pull out of all my bank

> > accounts. Now I don't know what's going to happen since I couldn't

> afford

> > the tests and can't get the doc on the phone so far.

> >

> > --

> > Dennis in eastexas

>

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Gosh Dennis, you guys sure have it tough. I hope the meds. help Betty.

That is a nasty disease. Sorry to hear she has it.

I think all meds. cost way too much, but they want all that money for

themselves. We need the meds, and they want all our money. They sure

have it their way.

I hope you can get the tests you need and not have to pay anything or at

least, a low fee. Your new Rheumy sounds good, and is willing to have

you try something else. Good luck with whatever you decide to try.

What my cocktail is now is sure working great for me. I am at the max

dose of MTX, Sulfasalizine, and Placquenil. I pray this works good all

the time for me. I don't think I can ever take a Biologic drug, as I

was positive for TB years ago, and took treatment for its prevention. I

know the side effects can set off TB of the lungs and bones, etc. I

sure don't need that.

Wishing you and Betty better days ahead. God Bless you both.

Hugs,

Barbara

> > >

> > > I have been having a problem with my regular Rheumy since I

switched

> > > insurance from Medicare to Texas Community Care at the first of

the

> > year.

> > > His office wouldn't renew the contract with them, so I had to find

> > another

> > > Rheumy or change insurance. This one seems to have a wonderful

> > benefits

> > > package, zero co-pay for scripts ordered through their pharmacy on

any

> > > generic, zero co-pay for seeing the PCP, $5 co-pay for eye exam

and

> > $150

> > > toward glasses, and a number of other things, dental and all. And,

no

> > > premium except for the normal Medicare amount.

> > >

> > > I agonized for a while deciding what to do, but even though the

Rheumy

> > was

> > > with me for almost 20 years and worked well with me (or so I

thought),

> > but I

> > > finally found a local Rheumy that would take the insurance. I saw

him

> > this

> > > morning and he wants to switch me to a biologic and get me off

> > Prednisone,

> > > things my other doc didn't do or suggest. He also wanted me to

have a

> > hand

> > > x-ray and MRI to tell how much is osteo and how much is RA. I went

to

> > the

> > > hospital for the hand tests and they wanted an arm and leg before

> > doing only

> > > the x-rays. It was certainly more than I could pull out of all my

bank

> > > accounts. Now I don't know what's going to happen since I couldn't

> > afford

> > > the tests and can't get the doc on the phone so far.

> > >

> > > --

> > > Dennis in eastexas

> >

>

>

>

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