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Enbrel And Medicare

Enbrel And Medicare

Will be switching to Medicare in a few months and in researching my options I'm finding Enbrel will cost me about $5000 more per year than it does on my current health insurance. What have other people done when moving to Medicare?

A MySpondylitisTeam Member said:

You get none of the good new drugs and they still want you to take the 30 yr old drugs Humira worked great for me but on Medicare it’s $3000 a month I make $830 a month I’m screwed.

posted 5 days ago
A MySpondylitisTeam Member said:

It must differ from state to state, my doctor had to send in information, but I always got approved, I never had to pay but a few dollars out of pocket, but maybe paid just a few time. I hope you get it, to see if it helps you.❤️🙏🙏🙏

posted 9 days ago
A MySpondylitisTeam Member said:

This worries me, I’ll be on Medicare in august... how much are each of the biologics costing folks on Medicare? Does differ state to state?

posted 9 days ago
A MySpondylitisTeam Member said:

SueZ, I have been on biologics sinse 2012, the first time , my rhematologist prescribe an injection for me, he told me that if medicare did not pay, he had a team that would get me aproved it took like 3weeks, the first injection was embrel, I did get approved all I had to pay was out of pocket for my insurance which was no more than $6, but I wasn't on that drug except for a few weeks, because it made me so sick, seem like at first, I got so sick while taking the drugs until I got to humeria, I took that for 6 months, but it made me deathly sick when it quit working, I did try embrel, but with the same result, I finally tried cimiza, it worked 2 years, but when it stopped, I thought I was dying, I don't know if they had something going on with Vanderbilt, but I felt like a lab rat, none of the medications helped me, until they decided to do the remicaide, I tried this for a year, but the doctor had me on such a small dose, it didn't do any good,
so the pandemic happened, I could not go to my doctor's visits for about 7 months, but then I had done without it, I just didn't want to do it anymore, it really didn't help and it never threw me into slowing the beast down. I was falling ALOT had to have a CT they found a 7 mm lession on my spine which was AS, and all my disc have collapsed on top of each other, I have spurs in my neck ,all the way down to the end of my spine, the surgeon wanted me to go back to my rhematologist, to start some real agressive meds for my back, it took me a year to go back, but I told my doctor, I wanted to treat my back sgressively, because if something wasn't done I would be in a wheelchair within a year, he kept on raising the dose, but I started having trouble with my PTLs and WBC, my sed rate had gotten to 146, my Platelet count gout up to 2200, and I was sent to an oncologist, march 3,2021 I was diagnosed with myloid Leukemia, they think the remicaide caused this, but the only thing my rhematologist never told me my Platelet count was off the charts, it was my PCP, when I called and let my rhematologist know, he said it was my choice to take the remicaide, but a doctor who specializes in this cancer said I would never be able to take the remicaide again, so here I am, my AS is raging, I have had to start chemo, I will be on this for a long time, why didn't my rhematologist catch this sooner, or at least say something, someone paid for all those meds, but I fill like I short changed my self, and now there is nothing they can do for my AS, I wish I had never started the journey in the meds for AS, but we can't go back, my pain is always a 10, I am very unstable on my feet, I am on Blood thinners, because I have Developed atril,- fib, the chemo was doing it job, but as of last week my PLT count was 300+ point than what it was last week, I stay so tired, depressed, in pain. I am at my witt's end, I would tell you, if you still think the biologics force your doctor to get approval from insurance.

posted 12 days ago
A MySpondylitisTeam Member said:

When they drug maker offers to pay for part of the drug the back of the card says Medicare will not let you use this card I trie for Embrel. I’m in IL and Medicare refuses infusions and all new drugs, and I’m allergic to the old drugs so I take none..and suffer.

posted 12 days ago
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