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Author Topic: are there any one a day hiv meds covered under aetna?  (Read 423 times)

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Offline yourfinalfantasy

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  • Posts: 3
are there any one a day hiv meds covered under aetna?
« on: July 13, 2017, 04:31:26 PM »
are there any people on Aetna taking one a day medications or medicines fully covered by Aetna coverage. I'm asking because suddenly i have copays for medicine that was fully covered

Offline yourfinalfantasy

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Re: are there any one a day hiv meds covered under aetna?
« Reply #1 on: July 27, 2017, 10:37:43 AM »
There's no one with aetna taking one a day medicine or medicine fully covered?

Offline leatherman

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Re: are there any one a day hiv meds covered under aetna?
« Reply #2 on: July 27, 2017, 12:05:01 PM »
i have medicare/caid so I don't know about aetna; however, if nothing else to check into, most manufacturers have patient assistance programs with co-pay cards that cover that cost. check the appropriate websites for more info.

hope you get some help ;)
leatherman (aka mIkIE)

All the stars are flashing high above the sea
and the party is on fire around you and me
We're gonna burn this disco down before the morning comes
- Pet Shop Boys

chart from 1992-2015
Isentress/Prezcobix

Offline Ptrk3

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Re: are there any one a day hiv meds covered under aetna?
« Reply #3 on: July 27, 2017, 12:16:51 PM »
Access and peruse this website for further information about various options you may have:

https://www.poz.com/basics/hiv-basics/drug-assistance-programs
HIV 101 - Basics
HIV 101
You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read more about HIV prevention here:
HIV prevention
You can read more about PEP and PrEP here
PEP and PrEP

Offline skeebo1969

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Re: are there any one a day hiv meds covered under aetna?
« Reply #4 on: July 27, 2017, 01:01:19 PM »
There's no one with aetna taking one a day medicine or medicine fully covered?


If you go to their website they'll have a section where you can see the meds and what tier level they'll fall under.

I have Aetna and also take a one dose a day type of drug (Genvoya), however it is not fully covered.  My out of pocket expense is zero thanks to a copay assistance card given to me by my doctor.

You can also ask your doctor if they have any copay assistance cards, and if they do for what meds.  Then cross reference that info with your insurance's website on the tier level I mentioned.

I despise the song Love is in the Air, you should too.

Offline leatherman

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  • Google and HIV meds are Your Friends
leatherman (aka mIkIE)

All the stars are flashing high above the sea
and the party is on fire around you and me
We're gonna burn this disco down before the morning comes
- Pet Shop Boys

chart from 1992-2015
Isentress/Prezcobix

Offline bocker3

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  • Posts: 4,081
  • You gotta enjoy life......
Re: are there any one a day hiv meds covered under aetna?
« Reply #6 on: July 29, 2017, 05:02:05 PM »
What drugs are covered for what cost is not the same for all people under the same insurance company.  your employer plays a part in these costs/tiers as well.

For instance, under my last employer I had Anthem BC/BS insurance coverage.  ALL my HIV meds (Atripla, Reyataz and Norvir) were only available under the Specialty Pharmacy.  The cost out of pocket was $75 for each drug, for a 3 month supply.

I am now with a new employer.  Still have Anthem BC/BS, but my drugs are no longer under the Specialty Pharmacy and will cost me $60 each for a 3 month supply.

So -- you see that whatever someone pays under their Aetna plan, does not, necessarily, translate into what you will pay.

You should look into the copay assistance programs.  I didn't for a number of years, assuming that they had an income test.  Well, they didn't -- at least not for my Atripla and Reyataz, so I have been getting my copays back for the last 2 years.  BTW -- they have a pretty hefty amount that they are willing to cover, so you really should check into it.

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2015 969/28% <20

 


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