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Hep C Discussion Forum -> On Treatment -> Anyone having trouble getting insurance companies to pay for treatment?
Post Info TOPIC: Anyone having trouble getting insurance companies to pay for treatment?
iggle


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RE: Anyone having trouble getting insurance companies to pay for treatment?
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i stressed for months, because i have no health insurance. finally, i found out about the drug companies offering assistance and that saved my butt.



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suey


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Peggassist is great. They even reimbursed my deductible so treatment has cost me nothing. Alberta Blue Cross and group retiree insurance have paid everything else. Feel very lucky in that regard.

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Susan Yantz
Neil_Canuck


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Because we have universal health care in Canada it does not mean coverage for meds only health services. We still have private coverages for meds. and Dentists etc. Seniors over 65 are covered for a lot of meds but not sure what exactly. Luckily there is a provincial government plan in Ontario, Trillium. It determines a yearly deductible from your household income....2% and a couple of deductions worked in. My household yearly ded. is $1500+ CDN. This is paid quarterly so its about $375 every 3 months. I pay the first $375 then every scrip is covered. I then pay only a $2 dispensing fee. Assistance can also be available from the Pegassist program from Merck which I am eligible for. 



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58 yrs, cirrhotic, Genotype 1b 48 weeks Victrelis triple, SOT 7/13/12 victrelis started week 5. Starting VL 4,000,000  Wk 8 33 copies  Wk 24 UND, EOT UND 6 months post Tx DET. The battle goes on.
marktrux


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It took my GI/Hepatoligist over a month to convince my ins. co to pay for treatment. Having failed single and double treatment 3 times before, they wanted to call it a lost cause. They would rather collect my pre-existing condition premium and not have to provide any services.  While he worked on the ins, i worked on getting co-pay assistance from the drug companys. I was able to get 100% co-pay aid for Incivek and Pegasys. The only reason i couldn't get aid for Ribaviran was because there's a generic avidable. My out-of-pocket is only $40 a month for all three. I lost the links for them but if you google co-pay aid for each drug it's pretty easy to find.



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KCCO

 

 
Margo


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Your doctor should be more persistent and prove that this treatment is extremely necessary and beneficial to your health and future well being. I do have a monthly co- pay of $100 with incivek it was $80 more.

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Geno 1b, relapsed in 2009 a week before my treatment was to be over. Started triple therapy on April 28th, 2012. UND at week 4,8,12,24,3 months post tx.
Scout


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There are co-pay assistance options offered by the drug companies. Have your ins patient advocate look into it for you.



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Geno 1a, Viral load at 2 4, 8, 12 and 16  weeks, UND, Triple therapy Incevek done,   Peg & Riba Done, UND and making plans for the future!!
bison


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I work in the medical profession (which is likely where i contracted this disease), but had fits trying to get my insurance to pay for treatment.  They said I would be responsible for approx. $6,440/month of therapy.  Thank God my husband is a coal miner with wonderful insurance which pays all but $15.00/month.  Was curious ...especially about Canadians and others that have universal health care provided by their country...what problems if any they encountered.  I think it is a pretty sad situation when you pocketbook determines the care you get.  Just curious to hear what others have experienced and thankful that my husband and I have carriend double insurances all of our lives.

 

 



-- Edited by bison on Monday 20th of August 2012 01:55:50 AM

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1b  WV Started triple therapy 7/13/2012.
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