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Author Topic: the many faces of insurance  (Read 2618 times)

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Offline zach

  • Member
  • Posts: 3,410
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  ??? ???

Offline Assurbanipal

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  • Posts: 2,175
  • 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


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%
2014 VL UD - 48
2015 VL 130 Moved to Triumeq

Offline deibster

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  • Posts: 159
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. Constantly fighting the Lipodystrophy 'beer gut.'

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

Offline danitheches

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  • 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?


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.


Offline zach

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  • Posts: 3,410
Re: the many faces of insurance
« Reply #5 on: December 07, 2010, 08:34:18 AM »
thank you all for the guidance


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