Quote:
Originally Posted by clarkstar
welp, my insurance (medicaid) was cancelled as of Jan 1 so no more tysabri for me, for probably 6 months, which is the wait time until i can get insurance again. cigna told me MS is an automatic denial
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Have you spoken to the patient assistance program? They seem to be working with people to find solutions.
In my case, they offered to give me the vial for a co-pay of $10.00 but it still didn't help me, since it's the co-insurance and deductible I have a problem with. Their giving me the drug only freed my insurance co. from having to pay for the drug, but I am still stuck with the huge bill for the first infusion every year, so I told them to save it for someone who truly will benefit from their assistance.
I am evidently not eligible for a reduced rate from the infusion center despite having been turned down by the state medicaid program, so I went on a payment plan with the hospital where I get my infusion. I'll be paying 10% of my monthly income from now on unless something changes.
It hurts, but it's worth it for me to make sure I stay where I am rather than going down the tube!
Please call your caseworker and let them know what is happening with your insurance. They can help.