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Getting prescription for Enbrel approved by insurance Getting prescription for Enbrel approved by insurance -- Posted by fkissam on 05-03-05 11:35
The insurance company will cover Enbrel if the doctor sends the required lab
work and documentation.
What lab work have people sent that has worked successfully? If the MRI
and Xrays throughout the body show arthritis, is that usually enough?
ANY HELP WOULD BE APPRECIATED FOR THIS EXPENSIVE DRUG.
Thank you.
Re: Getting prescription for Enbrel approved by insurance -- Posted by Harvey R. Stone on 05-03-05 13:43
"fkissam" wrote in message
news:YpPde.124763$f%4.95280@bignews1.bellsouth.net... > The insurance company will cover Enbrel if the doctor sends the required
> lab
> work and documentation.
>
> What lab work have people sent that has worked successfully? If the MRI
> and Xrays throughout the body show arthritis, is that usually enough?
>
> ANY HELP WOULD BE APPRECIATED FOR THIS EXPENSIVE DRUG.
>
> Thank you.
>
>
Usually,,, the insurance company needs to know that you have tried and
failed with the cheaper drugs or DMARDs. Its all about money. As far as
I know, the most expensive is Remicade because of the need for RNs to give
it to you.
The cheaper drugs are Methx and Arava and maybe a couple more that I
have not taken.
The truth of it is that your immune system must be controlled and the
insurance need to do that so that they do not have to pay for $40, 000 joint
replacements but in my world its about my arteries and veins and organs that
inflam.arth can ruin.
harv
Re: Getting prescription for Enbrel approved by insurance -- Posted by Jeff and Mary on 05-03-05 20:51
the expense of remicade is the drug, the mark up, not the nurses. i know
from the breakdown of the bill. the costs from the hosptial itself is
minimal as compared to the drug cost.
jeffy
"Harvey R. Stone" wrote in message
news:3oRde.2014$Vz4.1012@newssvr11.news.prodigy.com... >
> "fkissam" wrote in message
> news:YpPde.124763$f%4.95280@bignews1.bellsouth.net...
> > The insurance company will cover Enbrel if the doctor sends the required
> > lab
> > work and documentation.
> >
> > What lab work have people sent that has worked successfully? If the
MRI > > and Xrays throughout the body show arthritis, is that usually enough?
> >
> > ANY HELP WOULD BE APPRECIATED FOR THIS EXPENSIVE DRUG.
> >
> > Thank you.
> >
> >
> Usually,,, the insurance company needs to know that you have tried and
> failed with the cheaper drugs or DMARDs. Its all about money. As far
as > I know, the most expensive is Remicade because of the need for RNs to give
> it to you.
> The cheaper drugs are Methx and Arava and maybe a couple more that I
> have not taken.
> The truth of it is that your immune system must be controlled and the
> insurance need to do that so that they do not have to pay for $40, 000
joint > replacements but in my world its about my arteries and veins and organs
that > inflam.arth can ruin.
> harv
>
>
Re: Getting prescription for Enbrel approved by insurance -- Posted by Harvey R. Stone on 05-04-05 05:54
"Jeff and Mary" wrote in message
news:18669$4278468d$4527465c$23069@123.NET... > the expense of remicade is the drug, the mark up, not the nurses. i know
> from the breakdown of the bill. the costs from the hosptial itself is
> minimal as compared to the drug cost.
> jeffy
>
On my bill, it was $285 per hour for two hours.... in my world that is a
great deal of money. I know the cost of the Remicade itself is high but
Soc.Sec is involved which probably pushed the cost up. In some peoples
world the cost of having the gov. involved is free and they need to look a
little clooooser. IMO
Harv
Re: Getting prescription for Enbrel approved by insurance -- Posted by Jeff and Mary on 05-06-05 17:45
how would you like my $7,000 bill to ponder over?
jeffy
"Harvey R. Stone" wrote in message
news:rC3ee.735$1o3.543@newssvr12.news.prodigy.com... >
> "Jeff and Mary" wrote in message
> news:18669$4278468d$4527465c$23069@123.NET...
> > the expense of remicade is the drug, the mark up, not the nurses. i
know > > from the breakdown of the bill. the costs from the hosptial itself is
> > minimal as compared to the drug cost.
> > jeffy
> >
>
> On my bill, it was $285 per hour for two hours.... in my world that is a
> great deal of money. I know the cost of the Remicade itself is high but
> Soc.Sec is involved which probably pushed the cost up. In some peoples
> world the cost of having the gov. involved is free and they need to look a
> little clooooser. IMO
> Harv
>
>
Re: Getting prescription for Enbrel approved by insurance -- Posted by firechief on 05-04-05 14:47
Harv wrote:
> I know, the most expensive is Remicade because of the need
> for RNs to give it to you.
Humira and other newer drugs are more expensive.
When an RN has 4, 5, 6 people in chairs receiving Remicade
(or another drug), the per-person expense is much less. If
the doctor's office is conducting drug trials (like mine is) the
drug manufacturer pays for the RN's time.
... AGENT 007's tombstone: His Number Was Up.
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