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Remicade vs Insurance


Tue, December 09, 2008 3:59 PM

I have been on Remicade for 2yrs, and until recently my insurance has paid at 100%.  Now the insurance company will only cover it at 75%, which will leave me with a $1,000.00 bill every six wks, until out of pocket has been met.  Remicade has helped with some of the symptons, however, my crohns is still active.  (I was diagnosed in Feb 2006)  All other medicines haven't worked, and don't know what to do since I cant afford to keep getting the Remicade infusions starting the first of the yr.  Has anyone else experienced anything similar and would have suggestions?

FPO csmason79
Joined Apr 8, 2008

Fri, January 23, 2009 1:00 AM

 Reply posted for lizchurch03.

Thank you so much for posting that website for the reimbursement information!  I wish I had known that sooner.  I have been on Remicade for just over a year and a half and  I go once a month and have to pay $700 out of pocket per year(I have had UC for 25+years).  I have asked the insurance companies, my doctor, etc. and was never given this information.  I just happened to scan through this forum-I usually mostly read the treatments one, but I'm glad I did.  You should definitely post that on the others.  I guess that's the downside to the multiple forums.  Anyway, thank you...I have another treatment on Monday! 

FPO smiller68
Joined Dec 3, 2008

Sun, January 04, 2009 7:20 PM

 Reply posted for lizchurch03.

I only pay 50 per treatment, every 8 weeks. I have no problem with that, but a little worried about the future. Thank you for the info, in case I need to go that route!!

FPO darbyan
Joined Jan 4, 2009

Tue, December 09, 2008 1:00 AM

 Reply posted for csmason79.

Remicade has an assistance program to help pay for treatments.  I think it pays up to $400 per infusion.  It is called the RemiStart program.  I just signed up because my insurance only covers 90% of the cost.  Go to www.centocoraccessone.com for the application form.  I hope this helps!

FPO lizchurch03
Joined Oct 18, 2008

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