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View Diary: Health Insurance Denied My Wife Medication (27 comments)

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  •  i'm so sorry to hear about your troubles (6+ / 0-)

    on the other hand, it appears your wife has a wonderful advocate.  

    A compilation of the above and a few other suggestions: Call your congressperson and senators. Contact the drug company directly to see if they will provide a discount.  If your wife's MD consulted with other MDs so any of them have samples they can provide? I hate to say it but is there any chance Walmart offers this - I have no idea how their $4 RX plan works but I'd step foot in a Walmart to check on this.  And check on line for Canadian/overseas dispensing sites?  I know that sounds iffy and it would scare me to do it, but do it I would if in this predicament. Is your wife in the process of applying for Medicare - I know its still a long wait but make sure that it becomes available to her as soon as she does qualify.

    My best to you and your wife and I hope that you will be able to celebrate your anniversary soon.

    •  thanks for the advice (1+ / 0-)
      Recommended by:

      My understanding that this is a specialty drug that you can not get through a local pharmacysuch as Walmart.  My congressman would not be helpful as he is anti health care and I never supported him.  As far as Medicare goes,  my estimate is that she would be eligible next October.  I don't understand why there is the 18 month waiting period for her.  We could have continued on her health coverage but at a 150 percent markup except for a mistake on her part.  She did not provide her letter approving her disability to her health insurance within 60 days.    One complication of the prescribed drug is that it is known to cause birth defects.   I believe it is a federal law that you need a pregnancy test prior to receiving the drug.  So, I don't think it would be availble from another country.

      •  Federal laws would not apply in another country. (5+ / 0-)
      •  I was told (4+ / 0-)

        it was 2 years after diagnosis until medicare kicks in. Which is why I haven't applied for disability yet, because disability payments would put my income too high to qualify for medicaid in this state as an adult. Right now my child support for my son barely lets me qualify. Without medicaid my entire disability check would be going out for meds let alone dr's and hospital visits.

        Medicaid won't pay for one of my meds, and I get it through a discount program through the company and Walmart. I pay 21 dollars a month for mine, but mine only costs about $200 a month normally. It's worth looking into the company, many of them do offer free or reduced cost meds in cases like your wife's.

        •  I have done this also (2+ / 0-)
          Recommended by:
          jimcbq, CuriousBoston

          The drug co. provided the drug for free every month, the only hassle was filling out the forms every month until I got smart and made copies to hand in every month w/ a new date of course. I GOT ONE DRUG FREE FOR OVER 3 YRS by just asking if they had a program for people like us. It does do a job on ones ego but what the hell.

           I also suffer from daily migraines and my next treatment, a fairly new treatment mode, is Botox. My Neurologist says it is about 30 tiny shots to my head and face. He claims the time to do the shots is less than 15 mins., and has had good results with people like me where they have tried just about everything out there. Medicare/MediCal (our MediAid) is also willing to pay for it. The only thing stopping me right now is the Dr. is about a hr away and hard to tie to a appt time. My last appt. was canceled as I was on the road, half way to the appt. when he was called away to a emergency.

          "Our nation, under an assault of tyranny and treason of the 1% against creation itself. You may not worship God until and unless you care for the image of God living in those tents and prophesying on your behalf." Rev. Rich Lang.

          by SmileySam on Sun Dec 11, 2011 at 06:09:32 AM PST

          [ Parent ]

          •  botox treatment (0+ / 0-)

            Another one of her doctors briefly discussed botox treatments.  When my wife's symptoms first started to appear, a couple doctors that we saw diagnosed her as having migraines but it turned out to be the wrong diagnosis.

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