Closed Thread
 
Thread Tools Display Modes
Old 05-08-2008, 05:24 PM #381
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Default

Quote:
Originally Posted by Victor H View Post
I received a letter from my insurance company regarding my Infusion Center costs.

Looks like BC/BS is not taking this high infusion center cost lightly.

The infusion center cost was $2,100 per month, of which I was responsible for $931. One of the errors made by the infusion center was not just the high cost, the the way which they varied the cost, seemingly at random.

My new out of pocket expenses for infusions has dropped to about $179 !!!!

Woooo Hoooo !!!

Now I just have to see waht Biogen can do for me regarding the cost of the Tysabri.

That's one down and one to go !

-Vic

I am glad that there are folks on my side regarding Infusion Center billing and Tysabri costs.

My infusion is being delayed until this issue if resolved, because the infusion center is not yet getting the message. Biogen is dealing with them as I type this note.

Here is a copy of the bill that the infusion center just sent me. It is my co-pay, after my insurance company has already paid its part.

I will note on my Tysabri graphs, assuming they continue, where my Tysabri infusion was delayed.

-Vic
Attached Thumbnails
Tysabri Information & Check In-infusion-center-bill-jpg  
Victor H is offline  
Old 05-08-2008, 06:32 PM #382
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Default

Looks like I have to pay the $1,346.58 today.

The "Assistance" will not be made available for a while.

Ugh...


ALSO: I will be on-time with my infusion schedule,...broke,....but on-time. So there is no need to annotate the gaphs!

Last edited by Victor H; 05-08-2008 at 10:39 PM.
Victor H is offline  
Old 05-09-2008, 12:52 AM #383
RedPenguins's Avatar
RedPenguins RedPenguins is offline
Member
 
Join Date: Jan 2008
Location: Southern California
Posts: 308
15 yr Member
RedPenguins RedPenguins is offline
Member
RedPenguins's Avatar
 
Join Date: Jan 2008
Location: Southern California
Posts: 308
15 yr Member
Default So sorry, Victor

Victor, I'm sorry the cost of your Tysabri remains a problems. Question - why not go to a different infusion center that charges appropriately?

As for their assistance program, through NORD, anyhow, they have a long process. I actually have the paperwork - and I'm still gathering all of the documents for them. Sigh. Like I have the energy for this! But they also told me that it will take time even when they do get it all - and they won't pay retroactively.

When I was on copaxone (for 5 weeks), their financial assistance was available to me immediately and it was seamless. Oh well.

Tomorrow I have my second infusion. I spoke to my neuro today and he said it was okay to have the Ty while on antibiotics. Not going to post more about this...at least until after I have the infusion. I'm already 5.5 weeks since my first one - and I don't want it delayed any more!

Vic - I hope it all works out for you....


~Keri
RedPenguins is offline  
"Thanks for this!" says:
Victor H (05-09-2008)
Old 05-09-2008, 01:21 AM #384
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Default

Keri,

I am in the proces of getting assistance for the costs, but it looks like my bill arrived just before the final approval date so I am stuck with the bill.

It could be worse. At least they will get paid and Biogen is working with my insurance company and the assistance program to help me find a more appropriate infusion center after my next infusion.

I am glad that you are going to get your next infusion. Keep us posted.

-Vic
Victor H is offline  
Old 05-09-2008, 06:46 AM #385
Riverwild's Avatar
Riverwild Riverwild is offline
Magnate
 
Join Date: May 2007
Location: Heah!
Posts: 2,921
15 yr Member
Riverwild Riverwild is offline
Magnate
Riverwild's Avatar
 
Join Date: May 2007
Location: Heah!
Posts: 2,921
15 yr Member
Default

Vic, this is just WRONG!

We all realize the US healthcare system needs to be revamped and you are living proof!

I am appalled at your costs. It scares me too, because I don't know what I would do if my insurance changed and I had to pay that much. I couldn't do it. I'd have to change therapy and I sure don't want to do that.

I hope your assistance comes through soon! Thanks for letting us in on such a personal battle and please let us know how it goes and keep posting on the process so others will know how to go about fixing this if it happens to them?
__________________
I know the sound the river makes, by dawn, by night, by day. But can it stay me through tomorrows that find me far away?


.
I have this mental picture in my mind of you all, shaking bones and bells and charms, muttering prayers and voodoo curses, dancing around in a circle of salt, with leetle glasses and tiny bottles of cheer in the middle...myyyyyy friends!

diagnosed 09/03/2004
scheduled to start Tysabri 03/05
Tysabri withdrawn from market 02/28/05
Copaxone 05/05-12/06
Tysabri returned to market 06/05/06
Found a new neuro 04/07
Tysabri 05/25/07-present
Medical Marijuana legally 12/03/09
.

Negative for JC virus antibodies!
.

I'm doing alright and making good grades,
The future's so bright, I gotta wear shades!
.
Riverwild is offline  
"Thanks for this!" says:
sheena (05-10-2008), Victor H (05-09-2008)
Old 05-09-2008, 08:50 AM #386
ewizabeth's Avatar
ewizabeth ewizabeth is offline
Elder
 
Join Date: Sep 2006
Location: northern Illinois
Posts: 5,258
15 yr Member
ewizabeth ewizabeth is offline
Elder
ewizabeth's Avatar
 
Join Date: Sep 2006
Location: northern Illinois
Posts: 5,258
15 yr Member
Default

Quote:
Originally Posted by Victor H View Post
Looks like I have to pay the $1,346.58 today.

The "Assistance" will not be made available for a while.

Ugh...

ALSO: I will be on-time with my infusion schedule,...broke,....but on-time. So there is no need to annotate the gaphs!
I'm glad you're doing it this way Vic. I know the big payment is bad ... but I think it's more important that you keep your infusions on time. When I read your posts the last couple of days, I was concerned that you were going to postpone one. My last one was about five days late, and I felt a bit more fatigued than usual for that last several days. I hope your next one will be on time with the financial assistance in place.
__________________
Wiz

Turn Left at the next election.
.


RRMS DX 01/28/03 Started Copaxone again on 12/09/09
ewizabeth is offline  
"Thanks for this!" says:
Victor H (05-09-2008)
Old 05-09-2008, 01:33 PM #387
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Victor H Victor H is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,090
15 yr Member
Default

Quote:
Originally Posted by ewizabeth View Post
I'm glad you're doing it this way Vic. I know the big payment is bad ... but I think it's more important that you keep your infusions on time. When I read your posts the last couple of days, I was concerned that you were going to postpone one. My last one was about five days late, and I felt a bit more fatigued than usual for that last several days. I hope your next one will be on time with the financial assistance in place.
I just received a letter from Anthem Blue Cross (my insurance co.), and it looks like they are tightening the thumbscrews on my existing infusion center because of their insane costs. Now, the insurance company has added two local infusion centers (within 5 miles of my house), and they have quoted a cost that is 30% less than my existing infusion center, and will not charge the unidentifiable costs! Hence, that will actually be a price drop of 45%, which is manageable.

However, only when I see it in writing I will be happy to go to one of them.

I do like the way this is going. Good old-fashioned competition between infusion centers!

-Vic

EDIT: I just received a call from the infusion center and BIOGEN is sending the Tysabri to them so that the infusion center cannot mark-up the price by 50%. LOL

Last edited by Victor H; 05-09-2008 at 02:11 PM. Reason: New information
Victor H is offline  
"Thanks for this!" says:
Riverwild (05-09-2008)
Old 05-11-2008, 12:24 AM #388
Natalie8's Avatar
Natalie8 Natalie8 is offline
Member
 
Join Date: Apr 2008
Posts: 900
15 yr Member
Natalie8 Natalie8 is offline
Member
Natalie8's Avatar
 
Join Date: Apr 2008
Posts: 900
15 yr Member
Default

Quote:
Originally Posted by Victor H View Post
I just received a letter from Anthem Blue Cross (my insurance co.), and it looks like they are tightening the thumbscrews on my existing infusion center because of their insane costs. Now, the insurance company has added two local infusion centers (within 5 miles of my house), and they have quoted a cost that is 30% less than my existing infusion center, and will not charge the unidentifiable costs! Hence, that will actually be a price drop of 45%, which is manageable.

However, only when I see it in writing I will be happy to go to one of them.

I do like the way this is going. Good old-fashioned competition between infusion centers!

-Vic

EDIT: I just received a call from the infusion center and BIOGEN is sending the Tysabri to them so that the infusion center cannot mark-up the price by 50%. LOL

Hi Vic,

I've been off neurotalk for a few weeks but I came back to check in and discovered your good news. I am so happy to hear that your Tysabri costs are going down!! It made me smile.

Natalie
Natalie8 is offline  
"Thanks for this!" says:
Victor H (05-11-2008)
Old 05-15-2008, 06:45 PM #389
Jodylee's Avatar
Jodylee Jodylee is offline
Senior Member
 
Join Date: Jan 2008
Posts: 1,365
15 yr Member
Jodylee Jodylee is offline
Senior Member
Jodylee's Avatar
 
Join Date: Jan 2008
Posts: 1,365
15 yr Member
Default Changing infusion sites

A while back I had to change infusion sites on a temporary basis from Florida to Pennsylvania. It was not an easy process BUT changing back to my old infusion site took only three phone calls ! One to cancel my appointment at one site, one to make an appointment at the other site, and most important the call to Biogen to make the switch back.

It only took two days!
__________________
Multiple Sclerosis-Dx May 2007

.
Jodylee is offline  
"Thanks for this!" says:
Riverwild (05-15-2008)
Old 05-15-2008, 07:31 PM #390
Riverwild's Avatar
Riverwild Riverwild is offline
Magnate
 
Join Date: May 2007
Location: Heah!
Posts: 2,921
15 yr Member
Riverwild Riverwild is offline
Magnate
Riverwild's Avatar
 
Join Date: May 2007
Location: Heah!
Posts: 2,921
15 yr Member
Default

Quote:
Originally Posted by joellelee2000 View Post
A while back I had to change infusion sites on a temporary basis from Florida to Pennsylvania. It was not an easy process BUT changing back to my old infusion site took only three phone calls ! One to cancel my appointment at one site, one to make an appointment at the other site, and most important the call to Biogen to make the switch back.

It only took two days!
LOL Joelle! Maybe someday it will just be a phone call to one place and it's done!

Thanks for posting through the process of switching! I am sure there will be more folks who have to go through this who will find your posts helpful!

I'm glad everything worked out! Now...HOW are you feeling?
__________________
I know the sound the river makes, by dawn, by night, by day. But can it stay me through tomorrows that find me far away?


.
I have this mental picture in my mind of you all, shaking bones and bells and charms, muttering prayers and voodoo curses, dancing around in a circle of salt, with leetle glasses and tiny bottles of cheer in the middle...myyyyyy friends!

diagnosed 09/03/2004
scheduled to start Tysabri 03/05
Tysabri withdrawn from market 02/28/05
Copaxone 05/05-12/06
Tysabri returned to market 06/05/06
Found a new neuro 04/07
Tysabri 05/25/07-present
Medical Marijuana legally 12/03/09
.

Negative for JC virus antibodies!
.

I'm doing alright and making good grades,
The future's so bright, I gotta wear shades!
.
Riverwild is offline  
Closed Thread

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Anyone else on tysabri? barb02 Multiple Sclerosis 19 08-28-2008 09:06 PM
Tysabri Talk msladyinca Multiple Sclerosis 115 04-01-2008 08:14 PM
Tysabri ArmyMahmaa Multiple Sclerosis 7 02-07-2007 04:17 PM
Who at Braintalk is on Tysabri? BBS1951 Multiple Sclerosis 26 10-21-2006 09:41 PM
More Tysabri News pantos Multiple Sclerosis 0 10-06-2006 08:52 PM


All times are GMT -5. The time now is 12:53 PM.


Powered by vBulletin • Copyright ©2000 - 2025, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise (Lite) - vBulletin Mods & Addons Copyright © 2025 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.