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Author Topic: the many faces of insurance  (Read 1483 times)

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Offline zach

  • Member
  • Posts: 730
the many faces of insurance
« on: November 26, 2010, 03:22:53 PM »
insurance, and mail order pharmacies, are still pretty new to me... when i first started this process my insurance company put me in contact with their in house mail order pharmacy, those folks told me they didnt handle atripla and passed me to a specialty pharmacy, the specialty folks only let me get one month at a time... a couple days ago i got my refill.... today, for some reason no one can explain, my insurance pharmacy who just a few months ago said they don't handle atripla sent me three months worth of the stuff... now this is all fine and well, more the merrier i guess, and actually it works out to be cheaper by $50 over three months... my confusion is simply, why? how'd this happen... i now owe four months of copay when i was only expecting one... just venting here cause i aint got the money money they want immediately  ??? ???
3/27/14 vl >300k cd4=9... plenty of room to improve

Many rivers to cross
But I can't seem to find my way over
Wandering I am lost
Yes, I've got many rivers to cross
And I merely survive because of my will...

Offline Assurbanipal

  • Member
  • Posts: 2,173
  • Taking a forums break, still see PM's
Re: the many faces of insurance
« Reply #1 on: November 27, 2010, 03:42:47 PM »
There's programs that might cover your co-pays for you.

Check out this web page

http://www.atripla.com/hiv-med-cost.aspx

Or call the co-pay assistance program 1-866-290-4767
5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline deibster

  • Member
  • Posts: 147
Re: the many faces of insurance
« Reply #2 on: November 29, 2010, 03:19:44 PM »
Assurb, try paying them something, one month's copay at a time. The mail order pharmacy probably just started to handle your HIV med. I was told my Prevacid, for GERD, wasn't covered & then a few weeks later it became available in generic & they sent it to me without any explanation.
Hang in there, it will get better!
Poz since Dec 1992. Meds since 1995. Disability since 2005.

Prezista/Norvir, Epzicom, Cytomel, Prevacid, pravastatin, Fenofibrate, Welbutrin, Remeron, Zoloft, Concerta, doxazosin, Allegra180, Nasacort, Centrum, Flax Oil, Fish Oil

Offline danitheches

  • Member
  • Posts: 17
Re: the many faces of insurance
« Reply #3 on: December 02, 2010, 12:35:48 PM »
Atripla has an insurance co-pay card that will cover up to $200 of co pay per month. It used to be after you paid the first $50 but I'm not sure if they are coving the whole $200 now.   Not sure if they'll do it on a 3 month supply, but worth checking into.  I have a whole stack of them here that we get from the drug reps.  There is a phone number on the card to call:  1-866-784-3431, maybe they'll send you one?

Dani

Offline danitheches

  • Member
  • Posts: 17
Re: the many faces of insurance
« Reply #4 on: December 02, 2010, 12:37:12 PM »
Oh, I forgot to mention: you may want to check to see if your state ADAP program has an insurance assistance program.  This way ADAP pays your co-pay or a significant portion thereof depending on your income.

Dani

Offline zach

  • Member
  • Posts: 730
Re: the many faces of insurance
« Reply #5 on: December 07, 2010, 08:34:18 AM »
thank you all for the guidance
3/27/14 vl >300k cd4=9... plenty of room to improve

Many rivers to cross
But I can't seem to find my way over
Wandering I am lost
Yes, I've got many rivers to cross
And I merely survive because of my will...

 


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