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Author Topic: HIV Meds Co-Pays with Aetna Health Insurance  (Read 4330 times)

0 Members and 2 Guests are viewing this topic.

Offline greencarnation

  • member
  • Posts: 1
HIV Meds Co-Pays with Aetna Health Insurance
« on: April 16, 2012, 01:19:19 PM »
I have just accepted a position with a company which has Aetna Health Insurance for its employees. I was wondering if anyone could tell me what the copays might be for my three HIV medications:

Complera
Reyataz
Norvir

From what I can tell Aetna has a five tier drug copay and the top tier (Number 5) copay appears quite price. Thanks!

Offline leatherman

  • Member
  • Posts: 6,195
  • Google and HIV meds are Your Friends
Re: HIV Meds Co-Pays with Aetna Health Insurance
« Reply #1 on: April 16, 2012, 04:07:24 PM »
don't forget to always check the pharma sites for patient assistance and/or copay help. there's no sense to not take the reductions and patient assistance they offer to make sure your daily regimen is actually affordable  ;)

oh, and copays will probably differ based on insurance companies and plans so you might not get the exact info you were asking for ;)

reyataz http://www.bmscopayprogramsusrey.com/bmscopayprogramsusrey/index.html
complera info here in this blog http://williamlarsonpharmd.wordpress.com/2011/09/14/co-pay-savings-for-hiv-medication-part-2-complera/

maybe someone else will chime in about the norvir or a better link for complera
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline phildinftlaudy

  • Member
  • Posts: 2,965
  • sweet Ann what you think babe...
Re: HIV Meds Co-Pays with Aetna Health Insurance
« Reply #2 on: April 16, 2012, 04:10:23 PM »
I have Aetna and pay $60 copay for my Atripla - but that is picked up by the Patient Assistance Program - so in essence no copay for the time being.

September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline Buckeyerob75

  • Member
  • Posts: 25
Re: HIV Meds Co-Pays with Aetna Health Insurance
« Reply #3 on: April 17, 2012, 06:55:17 PM »
Hey Greencarnation- I actually used to work for Aetna so I'm familiar with your question.

Your copay/coinsurance amounts are actually determined by each employer that offers the insurance. Aetna just does what the companies want and so one person may have a $60 copay and another person may have $120 copay for the same drug for the same amount of pills just because they work for different companies.

I think of it like going to a restaurant- the company picks only the items it wants and then sets the prices of them to some extent based on how much they're willing to pay. Hope that makes sense and helps!
6/2011- Tested Negative
1/2012- Tested Positive- CD4 180/VL 105,000
4/2012- CD4- 129/VL 29,000
4/2102- Started Atripla
11/2012- CD4- 157/VL 40

Offline beau1200

  • Member
  • Posts: 17
Re: HIV Meds Co-Pays with Aetna Health Insurance
« Reply #4 on: May 13, 2012, 04:34:04 AM »
The best way to find this out for based on your companies agreement with Aetna is to log onto Aetna's website and check there. Once you've signed in as a member, it will tell you based on your companies agreement what your co-pays will look like.
Each company has different agreements so your company may offer different rates/copays than another company. 
Hope that helps.

Offline Hellraiser

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  • Posts: 4,136
  • Semi-misanthropic
Re: HIV Meds Co-Pays with Aetna Health Insurance
« Reply #5 on: May 13, 2012, 02:41:56 PM »
 3 Month supply of Complera is an $80 copay for me through BC/BS mail order pharmacy Curascript. 

Offline leatherman

  • Member
  • Posts: 6,195
  • Google and HIV meds are Your Friends
Re: HIV Meds Co-Pays with Aetna Health Insurance
« Reply #6 on: May 13, 2012, 05:17:50 PM »
3 Month supply of Complera is an $80 copay for me through BC/BS mail order pharmacy Curascript.
are you eligible for any complera copay assistance?
http://www.complera.com/complera-co-pay
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline Hellraiser

  • Member
  • Posts: 4,136
  • Semi-misanthropic
Re: HIV Meds Co-Pays with Aetna Health Insurance
« Reply #7 on: May 13, 2012, 06:35:07 PM »
are you eligible for any complera copay assistance?
http://www.complera.com/complera-co-pay

I'm sure I am.  I used the copay assistance program offered for Atripla but seeing as this is my first week on the drug and my doctor won't write me more than a 3 month script until she sees the results of my blood work I opted to wait on signing up for copay assistance

 


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