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Old 11-29-2008, 08:49 AM #1
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Before starting any plans, understand what they cover. I get through my husbands job, go to doctor I like (who is one of doctors approved
I like plan, as most doctors are etc.. Got my Rebif for nothing but when getting a power chair, their approved comppamny said 16,000 (Yikes) and found out they only allow 3500!!!! I couldn't pay the other 12,500! We negotiated price down (Removing wheelchair options - did they bother?) and lo and behold it became much lower price I stated I could pay with my 3500 DME (Durable Medical Equipment.)

If think equipment suppliers ask a charge a lot. Be careful out there!
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Old 11-29-2008, 07:59 PM #2
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Depends on whether or not you are on Medicare, etc - Copaxone is a Tier 4 injectible - with RX insurance plus medicare you have to pay 1/3 the cost - which is a lot - perhaps you can apply for funding through Copaxone's Shared Solutions - they give your info to the Chronic Disease Fund which then evaluates whether or not you qualify - you might even get it free depending on your circumstances -
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Old 11-29-2008, 08:19 PM #3
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My HMO did not charge anything for copaxone. It was considered a treatment, not a med. It all depends on your plan.
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Old 11-29-2008, 08:28 PM #4
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Wow - what's your plan - mine is $860 monthly - if I stay with Copaxone - all the Medicare approved supplementary insurances are 1/3 the monthly cost -
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Old 11-29-2008, 10:34 PM #5
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Health Alliance -- in Illinois. However, I have actually changed plans, so I can go to whatever doctor I want. I do not need any referrals. My costs are somewhat higher, but I was not happy with choice of pcp's. I am a state employee (university) so we do have decent insurance. I have a colleague who is on this plan (the one I switched to), and he pays 11.00 a month for avonex. I also did not have to pay anything for tysabri when I was on it through the HMO. I may regret switching plans, but I wanted more flexibility.
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Old 11-29-2008, 11:07 PM #6
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You are very lucky with your insurance - don't lose it !! Hopefully your retirement program will include your health insurance - no one in their right mind would want to have to consider the co-pay I would have to come up with now that I'm retired - and my decision - is no - not doing it -
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Old 11-30-2008, 01:18 PM #7
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Once I have 20 years (this is my 20th), I am entitled to full health care coverage when I retire. They pay the entire premiums when you retire. Of course, the state has been talking about changing this, but I think if they do, there will be a grandfather clause. It will only affect new employees.

I am sorry you cannot find a more affordable plan.
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