Tremphya/Ambetter Insurance

[Forest Walker]

Hi James! 

Sorry I don't know anything about Ambetter insurance.  I have been on biologics here in the States and basically your best bet is to check out the Tremfya website and see what programs they offer to help with coverage.  I have paid $0 to $20-25 for biologics.  Also, you can check and see if your doctor's office is willing to help you with that.  Mine actually took care of getting me in some of the programs offered by the different drug companies.  You should be eligible for one of the programs unless you get government insurance (Medicaid/Mediare) which changes things.  There are different options available to keep the cost down.  Also, you could contact Ambetter and ask them how much they would cover but my guess is that it won't be enough and you'll benefit from the company's program (Janssen who also makes Stelara which I was on and through their program I paid $0)

Good luck and Welcome!!

Kat

Hi, James. 

Kat's spot on with advice.  I had Ambetter some time ago and had no trouble getting Humira after doctor's office sent in pre-authorization paperwork, but I also have help through AbbiVie and pay only $5.00 each month.

Good luck.  Let us know how it goes.  Welcome!