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Medical Forum / Diseases and Disorders / Arthritis / March 2006No Orencia Yet
My Dr used the Orencia help center to see where I stood so far as using it with coverage by Unit.ed Health Care. The Orencia Center was unable to decifer my coverage, but it looks like it will be considered under my major medical- not prescription- coverage. Which means satisfying my deductible, max out of pocket expense, and then 80% coverage. This is just what they said about Remicade for two years, before giving it prescription coverage. So I have not started Orencia yet. I am now trying to find out what my financial liability would be with Orencia, but finding out the actual cost of Orencia is about as easy as getting insurance coverage! I'm still 2 years away from retirement, so I'll need to continue working if my employer will keep me at diminished capability. Martin Martin, Are you saying Remicade is no longer covered under major medical? Just curious, as my major medical pays 80/20 after deductible, but my prescription plan only pays 60%. What do the Remicade injections usually cost? Thanks, Mark > Martin, > Are you saying Remicade is no longer covered under major medical? Just [quoted text clipped - 4 lines] > Thanks, > Mark If you are an average person financially,,, too much and even with good insurance it cost me a third more than Enbrel. Someone that is still on it can tell you what the price is today. Harv well, i am on a massive dose of remicade, so i'm sure others' infusions are less than mine. when i lived in virginia, i got them at the hospital and the statement from the hospital read $8000(!). i paid $20. now in NC, i get them in the doctor's office and i have to pay 10% because i have new insurance. the cost is around $5000 and i pay 10%. not fun, but neither is RA. diane No, my Remicade is covered as a prescription- $25.00 to me. But Orencia is still considered "major medical", as was Remicade when I first tried it. So I have hopes that United Healthcare may extend prescrition-style coverage eventually. Martin |
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