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Old 10-22-2008, 05:25 PM #11
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Riverwild Riverwild is offline
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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
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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!!)
__________________
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Tysabri withdrawn from market 02/28/05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!
.
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