Psoriasis Club
  • Forum
  • Home
  • Portal
  • Member List
  • Psoriasis Score
  • PQOLS
  • What is psoriasis
  • Search
  • Help
Hello Guest, Welcome To The Psoriasis Club Forum. We are a self funded friendly group of people who understand.
Never be alone with psoriasis, come and join us. (Members see a lot more than you)
wave
Login Register
Login
Username:
Password:
Lost Password?
 
Psoriasis Club › HealthHealth Boards › Prescribed Treatments For Psoriasis v
« Previous 1 … 19 20 21 22 23 … 26 Next »

...and a happy Enbrel less new year!

Threaded Mode
...and a happy Enbrel less new year!
mataribot Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 1,339
Threads: 38
Joined: Jun 2013
Gender: Male
Location: USA
Treatment: >_<
#1
Tue-16-12-2014, 22:16 PM (This post was last modified: Tue-16-12-2014, 22:20 PM by mataribot.)
Thanks United...


Bird UHC!

Fred can you fix the link, I messed it up!
Quote
jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#2
Tue-16-12-2014, 22:25 PM (This post was last modified: Tue-16-12-2014, 22:30 PM by jiml.)
Can't get in the link, is this about the increase in cost I did find this if it was

Quote:UnitedHealthcare is changing its policy on Enbrel

Enbrel. Beginning Jan. 1, 2015, UnitedHealthcare will move Enbrel to a "double-step" policy that requires new patients to try and fail two other designated biologics before taking Enbrel. Additionally, UnitedHealthcare's Specialty Pharmacy network will no longer accept copay assistance coupons or cards as payment for Enbrel

What you need to know

Current Enbrel users – This new policy is not a denial of coverage for Enbrel. Enbrel is still covered - however you may see an increase in your copay at the pharmacy counter. You will be required to pay the out-of-pocket cost for your Enbrel prescription, and can be reimbursed through the drug manufacturer.

Future Enbrel users with psoriasis – If you are covered by UnitedHealthcare and your physician determines you should be treated with Enbrel, you will be required to try and fail both Humira and Stelara first.

Future Enbrel users with psoriatic arthritis – If you are covered by UnitedHealthcare and your physician determines you should be treated with Enbrel, you will be required to try and fail two of the four medications on the second tier that are approved for psoriatic arthritis: Cimzia, Humira, Simponi and Stelara.

Be sure to talk with your healthcare provider as they can help you map out the most appropriate treatment for your disease.

What you can do

Copay assistance is still available after purchase of Enbrel by applying for copay reimbursement through the manufacturer. For more information on this new reimbursement process, please contact an Enbrel Support reimbursement counselor at call 1-888-4ENBREL (1-888-436-2735).
Quote
Fred Offline
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 66,926
Threads: 3,887
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#3
Tue-16-12-2014, 22:26 PM
(Tue-16-12-2014, 22:16 PM)mataribot Wrote: Thanks United...


Bird UHC!

Fred can you fix the link, I messed it up!

Sorry but I don't allow links, especially to that website.

If you find one directly to Enbrel or UHC on the subject that would be preferable.
Quote
glenda grant Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 2,887
Threads: 8
Joined: Aug 2014
Gender: Female
Location: New Salem, Pennsylvania
Treatment: biologics
#4
Wed-17-12-2014, 05:08 AM
(Tue-16-12-2014, 22:25 PM)jiml Wrote: Can't get in the link, is this about the increase in cost I did find this if it was


Quote:UnitedHealthcare is changing its policy on Enbrel

Enbrel. Beginning Jan. 1, 2015, UnitedHealthcare will move Enbrel to a "double-step" policy that requires new patients to try and fail two other designated biologics before taking Enbrel. Additionally, UnitedHealthcare's Specialty Pharmacy network will no longer accept copay assistance coupons or cards as payment for Enbrel

What you need to know

Current Enbrel users – This new policy is not a denial of coverage for Enbrel. Enbrel is still covered - however you may see an increase in your copay at the pharmacy counter. You will be required to pay the out-of-pocket cost for your Enbrel prescription, and can be reimbursed through the drug manufacturer.

Future Enbrel users with psoriasis – If you are covered by UnitedHealthcare and your physician determines you should be treated with Enbrel, you will be required to try and fail both Humira and Stelara first.

Future Enbrel users with psoriatic arthritis – If you are covered by UnitedHealthcare and your physician determines you should be treated with Enbrel, you will be required to try and fail two of the four medications on the second tier that are approved for psoriatic arthritis: Cimzia, Humira, Simponi and Stelara.

Be sure to talk with your healthcare provider as they can help you map out the most appropriate treatment for your disease.

What you can do

Copay assistance is still available after purchase of Enbrel by applying for copay reimbursement through the manufacturer. For more information on this new reimbursement process, please contact an Enbrel Support reimbursement counselor at call 1-888-4ENBREL (1-888-436-2735).
Jim,I was reading about the United Health Care and what they are doing to their Enbrel patients.Thank goodness i have Highmark Blue Cross Blue Shield i do pay for my own insurance and have $1200 deductibles $3700 out of pocket.Once i reach these amounts they pay 100%.So i am now starting all over Jan 1st and don't know how much i'll be paying on Enbrel.Right now my insurance is paying for the 4 shots $3000 crazy isn't it.So if I have to pay 20% of $3000 that would be about $600 each month,but before the Enbrel Company gave me a debit card with $8000 on it to help with some of my co-pays.Hopefully they don't copy after United Health Care.You know how that is one will copy after another to save on the almighty dollar.These big company's don't care about us.Hey we the sick people of the world are making them rich.Oh Jim i am learning from you about the Drug Companies I am on a roll and not rock and roll.Ha Ha
Quote
mataribot Offline Author
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 1,339
Threads: 38
Joined: Jun 2013
Gender: Male
Location: USA
Treatment: >_<
#5
Wed-17-12-2014, 05:51 AM
My apologies for posting a link Fred...

I will update this post when the official link has been posted by UTC. The previous link is reference to a letters that are sent to clients and patients who subscribe Enbrel or who are ob it. UTC pulled the same stunt with Humira a few years ago.
Quote
Fred Offline
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 66,926
Threads: 3,887
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#6
Wed-17-12-2014, 10:47 AM
(Wed-17-12-2014, 05:51 AM)mataribot Wrote: My apologies for posting a link Fred...

I will update this post when the official link has been posted by UTC. The previous link is reference to a letters that are sent to clients and patients who subscribe Enbrel or who are ob it. UTC pulled the same stunt with Humira a few years ago.

No problem Matari, I have sent you a PM to explain.
Quote
« Next Oldest | Next Newest »


Possibly Related Threads…
Thread Author Replies Views Last Post
  Psorasias returns after 1 year Cosentyx, Can i Reload? FRP88 7 9,004 Sat-07-03-2020, 22:09 PM
Last Post: KatT
  From topicals, light, Enbrel, Humira, Methotrexate, Stelara, Otezla, Cosentyx... Kevinito 1 4,019 Sun-23-06-2019, 02:16 AM
Last Post: Kat
  Restarting Enbrel KyPrincess 6 6,656 Wed-21-02-2018, 20:19 PM
Last Post: KyPrincess
  Putting weight on with Enbrel evie 12 19,159 Sun-22-02-2015, 16:03 PM
Last Post: evie
  Stelara seeks EU approval for 12 to 17 year old psoriasis patients. Fred 2 6,088 Fri-10-10-2014, 13:51 PM
Last Post: Fred



Users browsing this thread: 1 Guest(s)
    About | Contact us | Login | Register | Home | Cookies/GDPR | RSS Syndication | Portal | Types Of Psoriasis | Psoriasis Score | Members Only Boards
    Copyright © 2010 - 2025 Psoriasis Club | All Rights Reserved | Founded May 2010 | Psoriasis Club Is Self Funded Without Sponsors Or Donations | Software by MyBB | Social
Linear Mode
Threaded Mode