Kickas.org Forums Ankylosing Spondylitis General Discussion #1 AS Web Support Group Insurance and Remicade/Humira

Hello,

Does anyone know which health insurance plans will help pay for my remicade infusions or Humira with a low Co-pay?
I have Cigna, but its a limited plan that wont cover most of the cost.

I would be willing to try Humira since it is less costly.
I just need to get an idea of what kind of insurance will cover it.
Thanks

Julie

julie:

in 2009, i switched to summerlin because my employer switched to a cheaper insurance plan.

i just had a remicade infusion on feb 24 and i'm still waiting hear back on how much they will reimburse me.

i was suprised that summerlin didn't require any doctor's letters or paperwork. they just said remicade was an approved drug.

i hope that helps. i wish i could tell you how much.

leslie

http://islandtails.honadvblogs.com/

Hi Julie
Unfortunately all insurance are different. I used to be on Remicade and my insurance company considered it as a treatment or procedure and not as a med, since I had a home health nurse that came to the house and gave me my infusions.

When I had to switch to Enbrel after building an immunity to the Remicade I get it through the same home health agency rather then my insurance company's pharmacy and they ran it as a procedure also since I was going through home health to get it.

Since my company considered it as a procedure it was covered 100% where as a med I would have been paying 30% since there isn't a generic replacement.

Keep Kickin'AS
Chris