I FINALLY got a copy of a bill from the hospital infusion center to the insurance company.
After reading it thoroughly, I called Anthem/BCBS. I had other things to talk to them about, but I gave them a heads up on that bill.
$6500.00+ for the vial of Tysabri.
The actual infusion costs were only $1200.00 and that was with all supplies and everything! One infusion costs $7700.00+. The price has gone up every month since I started.
I told the woman I spoke with that even though I am not paying for this because the insurance picks it all up under my major medical, and that the drug works just as it is supposed to, I am opposed to my policy cap being used up by overpricing by the infusion center. I told her the wholesale cost of the drug and she was not happy with the difference. I suggested that perhaps the insurance company's specialty pharmacy could get a MUCH better deal and maybe someone should look into it.
I have a case # now, because of all the problems I am having, and I will be getting an answer on the drug cost (while all my other problems are being corrected and I get my refund for bills paid since 1992! Thanks VIC!!)