posted
I haven't had any problems. Sometimes we are able to fly just under the radar!!
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96239 | From Texas | Registered: Feb 2001
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cactus
Frequent Contributor (1K+ posts)
Member # 7347
posted
Most of my orals are covered by ins - sometimes with a higher co-pay than normal (due to the dosing, or something like that). Mepron was one of those, and my copay ran around $200 per month.
With a few exception like that one, most of the orals have been covered.
IV was another story - my ins only covered 30 days, everything beyond that was up to me.
I hope your ins will cover a lot of yours, too.
-------------------- �Did you ever stop to think, and forget to start again?� - A.A. Milne Posts: 1987 | From No. VA | Registered: May 2005
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Beverly
Frequent Contributor (5K+ posts)
Member # 1271
posted
So far my insurance has covered all of my scripts, even if at times, I have had to pay a higher co-pay.
Good luck.
Posts: 6641 | From Michigan | Registered: Jun 2001
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lymednva
Frequent Contributor (1K+ posts)
Member # 9098
posted
All mine are covered like any other rx.
-------------------- Lymednva Posts: 2407 | From over the river and through the woods | Registered: Apr 2006
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posted
Mine have been covered in the same respect as my other prescription medications. The IV Rocephin was covered for 5 months (as long as my doctor and I thougth I should stay on it) too.
Robin
Posts: 276 | From Maryland | Registered: Dec 2006
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posted
Hi -- oral abx are covered at the co-insurance rate; Malarone is not covered since the insurance company wants me to have Malaria in order to get coverage; Rocephin IV was a difficult fight.
With Rocephin I got 4 weeks begrudgingly and an additonal 4 with the warning that they'd never cover me for that medication again in my lifetime. Bizarre. Had to take out a huge loan for the other 2 1/2 months.
Best to you,
wiserforit
Posts: 508 | From Banks of the Hudson | Registered: Jul 2006
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posted
i have been on oral abx for three months now and so far covered
Posts: 615 | From maryland | Registered: Oct 2007
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tdtid
Frequent Contributor (1K+ posts)
Member # 10276
posted
Another one jumping in here that also has been covered by insurance. Have only done orals though, so haven't tested the limits with other avenues.
Mepron, my most expensive is running me about $60 a month and considering it's not a cheap drug, I don't complain.
Cathy
-------------------- "To Dream The Impossible Dream" Man of La Mancha Posts: 2638 | From New Hampshire | Registered: Oct 2006
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djf2005
Frequent Contributor (1K+ posts)
Member # 11449
posted
i think i have the best ins possible.
my cost for oral are 5 bucks
other meds like mepron are 30
and iv was covered for 3 months
iv now is on my own, still, i was and am blessed.
thank god!
-------------------- "Experience is not what happens to you; it is what you do with what happens to you."
posted
So far everything has been covered. My insurance is interesting in that after I hit $1,000 in prescriptions, I have to pay full price and then I get 80% back.
Before I hit the $1,000, co-pay was as low as $3 for generic meds. Unfortunately I hit the cap really early in the year (mepron put me over the edge).
Posts: 97 | From Clinton, CT | Registered: Jun 2007
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CaliforniaLyme
Frequent Contributor (5K+ posts)
Member # 7136
posted
Mine covered no problems now*)!*)!! Yes, covered with no problems*)!*)!*)
When I needed IV Rocepihn years back- heck no*)!
-------------------- There is no wealth but life. -John Ruskin
All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer Posts: 5639 | From Aptos CA USA | Registered: Apr 2005
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posted
My doctor starting complying with the insurance companies and after 4 weeks of i.v. rocephin he wanted mr to discontinue (per the new guidelines). I paid $875.00 for one more week and then had my i.v. pulled. My doctor put me on Augumentin and Flagyl and insurance covered that but I got worse!
Now, I'm doing HBO and going to start Vit. C/ Salt Solution.
If this doesn't work I will need to find a new doctor who is willing to fight with the insurance co.'s for his patients. My doctor is tired of the politics and not getting paid.
-------------------- Lisa Hines Posts: 18 | From Orange Park, Florida | Registered: Jan 2007
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bettyg
Unregistered
posted
been on orals only
i pay up to $250 max; rest are 100% paid
last year i had that paid in MARCH; 9 months of free meds!
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TerryK
Frequent Contributor (5K+ posts)
Member # 8552
posted
My oral prescriptions are paid for just like they would pay for any prescriptions. I think IV abx will be a problem for me though. They only pay for one month anyway according to the policy.
I think there is a disconnect between medicare prescription coverage and diagnosis at this time because they are separate policies and the only time a diagnosis comes up is when you need coverage for a drug that is not on the formulary.
I expect they will eventually get that figured out at which time there may be more trouble getting prescription coverage for lyme via a medicare prescription policy.
Terry
Posts: 6286 | From Oregon | Registered: Jan 2006
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