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Author Topic: New insurance carrier question with co-pay assistance  (Read 3602 times)

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Offline venom_X

  • Member
  • Posts: 30
New insurance carrier question with co-pay assistance
« on: December 21, 2019, 03:05:35 pm »
Hi experts,

I need to switch to a new insurance carrier for next year and have a few questions.

(1) Is there a general preference between UHC and Aetna? Both offer exactly the same coverage and terms. The only difference is the network they have and the claim process.

(2) The carrier for next year's RX plan changed. They can no longer provide 3-month supply via local pharmacy and has to go through their mail service. How do I apply the co-pay cards in this case? Can I pay upfront with my credit card and then make separate claim with the drug company for the co-pay reimbursement?

If it can be done this way, is there any considerations that I should pay attention to? (I'm using the Gilead co-pay card, and couldn't find any info on their website regarding the process to pay upfront and get reimbursed later).

Thanks a lot!
Infected Mid June, 2019
Acute syndrome late June, started Biktarvy
3 weeks post infection (1 week on ART): VL: 330k, CD4 400 (33%), CD8 460, CD4/CD8 ratio: 0.9
5 weeks pi: VL: 300, CD4: 500 (30%), CD8: 690, ratio: 0.7
8 weeks: VL: 30,  CD4: 590 (28%), CD8: 920, ratio: 0.6
12 weeks: VL <30, CD4: 750 (37%), CD8: 700, ratio 1.1
20 weeks: VL<30, CD4 550 (dropped from 750 from 2 months ago, 38%), CD8 450, Ratio 1.2, elevated liver enzymes
8 months: UD, CD4 720 (40%)
12 months: UD
2021 May UD CD4 970 (43%) CD4/8 ratio: 1.3
2021 Nov UD CD4 630 (39%) CD4/8 ratio: 0.9


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