I have Medicare and Blue Cross as a secondary coverage. I have Humana prescription plan. As retired educators, our combined income is said to be too high for help with co pays. Consequently, I cannot afford the $5000. To $10,000 copay for Promacta, Doptelet, nor Tavalisse. Any suggestions would be extremely helpful.
Diagnosis of ITP in 2014. Retired (Nov 2019) renal specialist nurse, 46 years on the NHS front line. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use
Thank you received: 516
My heart goes out to you. I find it completely wrong that one has to pay insurance for health care and treatment is governed by ability to pay.
Thank goodness for our NHS.
I also get Part D from Humana, but a copay for Promacta would cost me $80 a month if I wanted to take it. The union group I'm in is large, so it has good bargaining power on plan costs to members. I'm taking NPlate mainly because it's completely covered under Part B as a medical treatment, unlike Promacta which is under Part D as a drug.
So my only suggestion is to shop plans and be ready to switch at the next open enrollment.
It's interesting to hear that you don't qualify for the co-pay programs. I am in a higher earner bracket and asked this question in case I have to move to plan B which is Rituxan. Cost is astronomical as you mentioned about your list. When I asked the Hema about it, he stated he's never seen someone disapproved. I am also in a program like this for Eylea which is an injectable I have to get for diabitic retinopathy every 8 weeks. It brings my out of pocket from $300 an injection to $25ish an injection. I hate that insurance still costs so much out of pocket. I hope you find a way to get a good treatment.
The Platelet Disorder Support Association does not provide medical advice or endorse any medication, vitamins or herbs. The information contained herein is not intended nor implied to be a substitute for professional medical advice and is provided for educational purposes only. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment, discontinuing an existing treatment and to discuss any questions you may have regarding your unique medical condition.
Platelet Disorder Support Association 8751 Brecksville Road, Suite 150, Cleveland, Ohio 44141 Phone: 1-87-PLATELET | 877-528-3538 (toll free) | or 440-746-9003 E-mail: firstname.lastname@example.org