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Author Topic: Copay Accumulator Ban  (Read 1783 times)

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Offline vaguesbleues

  • Member
  • Posts: 97
Copay Accumulator Ban
« on: February 08, 2024, 05:43:33 pm »
Iíve one of many individuals who has been hit with the copay accumulator added to my health insurance several years ago. My husband has had it even longer. What this results in is that we both end up paying the full $6k every year after our health insurance/PBM has drained the copay assistance card.

With the recent ruling out of the district court in DC, I thought all copay assistance cards now had to be required to apply to deductibles/max out of pocket. But nopeÖboth my insurance and my husbands insurance are refusing and saying they donít have to. Iím so confused!?
3/10/11 - HIV-
4/26/11 - Inconclusive WB
5/19/11 - HIV+, VL < 50, T-Cell 747 (30%)
6/13/11 - VL 345, T-Cell 841 (30%)
8/23/11 - VL 50,100, T-Cell 1155 (19%) - CMV
9/18/11 - Started Atripla
11/7/11 - VL 489, T-Cell 881 (31%)
2/8/12 - VL Undetectable!, T-Cell 772 (34%)
8/8/12 - VL UD, T-Cell 1070 (42%)
11/5/12 - VL UD, T-Cell 1174 (35%)
3/18/13 - VL UD, T-Cell 972 (28%)
10/4/13 - VL UD, T-Cell 1025 (34%)
2/9/14 - VL UD
7/31/14 - VL UD
1/29/15 - VL UD, T-Cell 1027 (32%)
9/15/15 - VL UD
10/21/16 - VL UD, T-cell 765 (39%)
4/28/17 - VL 29
8/17 - started Genvoya
10/27/17 - VL UD, T-cell 880 (35%)
3/30/18 - VL UD
9/28/18 - VL UD, T-cell 980 (34%)
4/19/19 - VL UD
10/18/19 - VL UD
10/22/20 - VL UD, T-cell 1005 (35%)


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