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Medical Forum / Diseases and Disorders / Arthritis / September 2006Juggling Rosie
Good afternoon, Gimps, Seems like I've been juggled. Humana didn't want to cover me for Enbrel so I've been sent to DH's Rx coverage. I don't care either way as long as I get it. That's what the delay has been and now it's still wait summore while Caremark approves it ( someone somewhere had better!) and sets me up to get Enbrel by mail order. Found out by mail that I now do officially have an RF even tho' it's connective tissue disease I've got. I'm told it's on the low side at 25. I have more damage on my right side than my left...which explains all the excess nerve pain on that side. Sometimes it feels like a heart attack until I think "It's on the RIGHT, silly" and I get relieved. LOL I'm tellin' ya that if I wasn't already crazy this would drive me closer to insanity. Maybe we can have a pool on exactly when it'll finally show up...calendar date and hour. :-) Thanks Gimps. Got this info by phone starting yesterday AM...took a day and a half. Wouldn't wanna let the Gimp Posse down; I'm keeping my own posse membership current. <g> Hugs from Rosie  Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II Hi Rosie,,,, I am glad you got it covered. That one and a few more like just can not be replaced by different medicine. Now,,, lets keep good and positive thoughts for it working for you. Harv > Good afternoon, Gimps, > [quoted text clipped - 25 lines] > > Hugs from Rosie Thank ya Harv! <g> Harv Hugs from Rosie Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > Hi Rosie,,,, I am glad you got it covered. That one and a few more like > just can not be replaced by different medicine. Now,,, lets keep good and [quoted text clipped - 30 lines] > > > > Hugs from Rosie > Good afternoon, Gimps, > [quoted text clipped - 23 lines] > "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat > Outta Hell II Nobody wants to cover Enbrel (or Humira or Remicade or anything else that's self inject and new). I remember when I found out that my DH's military retirement entitled me to those Rx benefits. I was ecstatic. Prior it had seemed like I'd have to come up with 2200 per month (that's half) under his work insurance (they don't "cover" those expensive drugs). Seems the insurance people seem to think if you can do it at home, then it can't be all that serious, so why would spend so much money for it? I will keep up the vibes (and purrs and offerings and songs) that this comes through for you. What about that Medicare Rx insurance? I haven't looked at it, since Express Scripts wrote and said not to bother (they have better copays). Since they are a Gov't insurance, I am not eligible for Medicare Rx unless I drop them (and I'm not stupid). Smokie Darling (Annie) > Nobody wants to cover Enbrel (or Humira or Remicade or anything else > that's self inject and new). I remember when I found out that my DH's > military retirement entitled me to those Rx benefits. I was ecstatic. You and Mary. <g> She was with Kaiser, going to doctors they told her to visit, squealing about Rx this and Rx that. Paying $350+ a month insurance premium PLUS co-pays at appointments. Now she's with Tricare under my Naval Reserve retirement and saving oodles each month. Genetic Rx are $3 while brand names are $9. No co-pay at appointments, though once in awhile she gets stuck with a partial lab bill. ... CONGRESS.SYS CORRUPTED: Reformat WASH_DC [Y/y] Heya Annie, The Humana is my Medicare part D and I also have State of FL help to help pay. So my other meds.only cost $5 brand and $2 generic.My RD really really wants me on Rituxan but my family would be out $1100 each month for that. He's hoping that if I continue to fail the anti-TNF's then that will make the Rituxan infusions the only thing I have left. I should get approval very quickly...he documents that it's to save my feet and it is. Let me add that I got called by an Enbrel representative this afternoon to faciliate and ease the process thru. She apologized for the wait I've endured this far. How kewl is THAT??!!?? When we Gimps get behind it it sure does happen! Thanx ya'll! ReHugs from Rosie Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > > > Good afternoon, Gimps, [quoted text clipped - 43 lines] > > Smokie Darling (Annie) >"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat WTG #2. #1 is glad to hear that things are falling into place. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB Please remove "Ima" to reply. Appreciate it muchly, #1! Luv from #2 Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > > >"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat [quoted text clipped - 4 lines] > > Please remove "Ima" to reply. >Appreciate it muchly, #1! > >Luv from #2 Thx #2. I hope to hear tht you are feeling better really soon. My !@#$%^&&& elbow has been a pain in dee butt! I am thinking of having it injected. Too bad I can still reach my mouth to eat! LOL (kidding) Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB Please remove "Ima" to reply. Sending you elbow healing vibes, Rose. Strange how they only work 'outward bound' isn't it? <g> Hugs from Numero Dos Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > > >Appreciate it muchly, #1! [quoted text clipped - 10 lines] > > Please remove "Ima" to reply. > Sending you elbow healing vibes, Rose. Strange how they only work 'outward >bound' isn't it? <g> > >Hugs from Numero Dos Ach! It was a pure unadulterated whine. I am tempted to go back on pred for a few days because an injection might make them worse for a bit and I can not risk it. Thx Numero deux. LOL Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB Please remove "Ima" to reply. Rosie wrote: >and I also have State of FL help to help pay. So my other meds.only cost $5 brand? >and $2 generic Rosie! What is the State of FL doing to help pay our Rxs???? Someone else mentioned this and I forgot because of my brain fog :-( I have SSD, Medicare, and Plan D by Cigna now. Warm Thoughts and Breezes, Meg Central FL > Rosie! What is the State of FL doing to help pay our Rxs???? Someone > else mentioned this and I forgot because of my brain fog :-( Every state has Medicade (MediCal in California). Every state has SSI (suppliment security income). California can pay part or all of the monthly Part B premium and HMO premium, and used to pay prescription co-pay in many instances. But I believe the Rx benefit has been assigned to a pre-paid Part D insurance company. There should be a disability avocate's office somewhere in your county who can make sure you don't fall through the cracks and lose out on your benefits. > I have SSD, Medicare, and Plan D by Cigna now. Do you mean SSDI - Social Security Disability Insurance? A part of the Old Age, Survivor, Disability Insurance -- OASDI -- program? ... Can fat people go skinny dipping? > There should be a disability avocate's office somewhere in your > county who can make sure you don't fall through the cracks and [quoted text clipped - 4 lines] > > ... Can fat people go skinny dipping? Yes, I am finally getting SSD benefits. Not SSDI. I picked a good drug plan (Cigna Plus something) for the government Drug Plan D too. Thanks for the info. BTW - I am fat and would skinny dip anytime! Last one into the pool is a rotten egg!!!! More Warm Thoughts, Meg Heya, Meg, I got a letter from Social Security saying to go to a website online and apply. So I did and I got an e-mail saying I was eligible. But the official letter in the mail really made me believe it. I used th eletter at the beginning of the year while waiting to get picked up by Part D in order to getmy meds.discounted...and they've been at the price quoted since....even after one of the two kids still living here turned18. I think I'll keep my remaining minor close by.<g> You may be one who fell thru the cracks, as Chief sez,so call yourlocal SS office and ask them how to apply for the state help online. Hugs from Rosie Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > > There should be a disability avocate's office somewhere in your > > county who can make sure you don't fall through the cracks and [quoted text clipped - 14 lines] > More Warm Thoughts, > Meg > Heya Annie, > [quoted text clipped - 12 lines] > > ReHugs from Rosie I will give Enbrel that. They are so cool with trying to be helpful. I had been on their mailing/calling list (which was fine), but when I went off, I only had to tell them once and they haven't called since (still get stuff in the mail, but that doesn't interrupt a meal or anything. I really do hope this works for you the way it did for me (without the downside, mind you). I couldn't believe how much better I felt after the first shot. If I hadn't been with such a dip the fist time through.... Well, we discuss RDs in this thread. Can't cross the fingers today, but I can cross my legs, so... SD (Annie) > -- > "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat [quoted text clipped - 56 lines] > > > > Smokie Darling (Annie) I was really surprised, as in,"Tell me WHO you are again?" I've taken a lotta legal drugs over the years and this is the first drug rep. I've ever spoken to. The RD Rx'd the 50mg.so he ain't playing. I'm glad it works for you so well...as it does for others here, too....so perhaps it'll be my saving drug as well. Thanx, Annie. :-) Hugs from Rosie Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > > > Heya Annie, [quoted text clipped - 74 lines] > > > that's self inject and new). I remember when I found out that my DH's > > > military retirement entitled me to those Rx benefits. I was ecstatic. > > > Prior it had seemed like I'd have to come up with 2200 per month > > > (that's half) under his work insurance (they don't "cover" those [quoted text clipped - 11 lines] > > > > > > Smokie Darling (Annie) Heya Annie, The Humana is my Medicare part D and I also have State of FL help to help pay. So my other meds.only cost $5 brand and $2 generic.My RD really really wants me on Rituxan but my family would be out $1100 each month for that. He's hoping that if I continue to fail the anti-TNF's then that will make the Rituxan infusions the only thing I have left. I should get approval very quickly...he documents that it's to save my feet and it is. Let me add that I got called by an Enbrel representative this afternoon to faciliate and ease the process thru. She apologized for the wait I've endured this far. How kewl is THAT??!!?? When we Gimps get behind it it sure does happen! Thanx ya'll! ReHugs from Rosie waaay kewl! awlright! it's great that this process is finally showing it is going somewhere positive for you! yesssss. kate Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > > Rosemarie Shiver wrote: > > Good afternoon, Gimps, > > > > Seems like I've been juggled. Humana didn't want to cover me for Enbrel > > so I've been sent to DH's Rx coverage. I don't care either way as long as I > > get it. That's what the delay has been and now it's still wait summore while > > Caremark approves it ( someone somewhere had better!) and sets me up to get > > Enbrel by mail order. > > > > Found out by mail that I now do officially have an RF even tho' it's > > connective tissue disease I've got. I'm told it's on the low side at 25.I > > have more damage on my right side than my left...which explains all the > > excess nerve pain on that side. Sometimes it feels like a heart attack until > > I think "It's on the RIGHT, silly" and I get relieved. LOL > > > > I'm tellin' ya that if I wasn't already crazy this would drive me closer > > to insanity. Maybe we can have a pool on exactly when it'll finally show > > up...calendar date and hour. :-) > > > > Thanks Gimps. Got this info by phone starting yesterday AM...took a day > > and a half. Wouldn't wanna let the Gimp Posse down; I'm keeping my own posse > > membership current. <g> > > > > Hugs from Rosie > > > > -- > > "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat > > Outta Hell II > [quoted text clipped - 16 lines] > > Smokie Darling (Annie) We get our meds from Caremark as well. On an average, it takes about 3 weeks after we send the order in until we get the meds by mail. Hope yours comes sooner. Nanny > Good afternoon, Gimps, > [quoted text clipped - 25 lines] > > Hugs from Rosie Thanx, Nanny! Glo Hugs from Rosie Signature"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II > We get our meds from Caremark as well. On an average, it takes about 3 > weeks after we send the order in until we get the meds by mail. Hope yours [quoted text clipped - 28 lines] > > > > Hugs from Rosie i guess i've been lucky. caremark usually takes about a week for me. except for the time i paid extra to get it overnight; that time took two weeks! lol. diane > We get our meds from Caremark as well. On an average, it takes about 3 > weeks after we send the order in until we get the meds by mail. Hope yours > comes sooner. Nanny
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