My state insurance might drop me this month,ca... - CLL Support

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My state insurance might drop me this month,can someone tell me what commercial insurance covers imbruvica.

Rhodeguy profile image
16 Replies

Lcan someone tell me what insurance covers imbruvica..commercial insurance

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Rhodeguy profile image
Rhodeguy
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16 Replies
LuzyCLL profile image
LuzyCLL

You may be able to get help with your Imbruvica, try the drug manufacturer, your doctor’s office staff should have information and help in applying for Rx assistance.

PAN Foundation

HealthWell foundation

LLS Society

More out there…

Rhodeguy profile image
Rhodeguy in reply toLuzyCLL

Thank you I will definitely look into that.

lankisterguy profile image
lankisterguyVolunteer

Hi Rhodeguy,

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Not having insurance may be better for getting Imbruvica / ibrutinib from AbbVie / Pharmacyclics, they might decide to provide it free of charge to you.

Having insurance might require a copay, but on two occasions my insurance refused to cover, my doctor's staff and the specialty pharmacy that distributes my targeted drugs figured out how to get it provided by the drug manufacturer at no cost, no insurance, no copay.

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As  LuzyCLL suggested, get your doctor's office (hopefully a CLL expert doctor) involved, and contact the LLS.org they can advise which way the wind is blowing today for your situation.

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Once you get your Imbruvica costs arranged then you should get medical insurance to cover all the other aliments that plague and infect us as well as our normal aging. (In both cases when I got drugs at no cost, the drug company just renewed my grant each year, without asking if the qualifying reasons had changed).

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Len

Rhodeguy profile image
Rhodeguy in reply tolankisterguy

Thank you for info,I see my oncologist end of July..I live in Massachusetts and they will put me on health connector .I'm currently on mass health..again great info..ty

Katie-LMHC-Artist profile image
Katie-LMHC-Artist in reply tolankisterguy

I am on Acalabrutinib and also Medicare. I am over 65. I started with grant money to pay for the medication. I soon ran out of grant money. The financial navigator through my oncologists office connected me to the manufacturer, AstraZeneca, and I qualified for free medication as long as I keep my income under a certain amount. I am turning 70 this year and still working. My choice. It gives me an excuse to cut back on my work, which I probably needed! As others have said...there is financial help out there. Hope all the information others have given you help! Take care!!!

wizzard166 profile image
wizzard166

If I had some more information, I could answer your question. How old are you?, even if under age 65 are you on Medicare?, what State do you live in? When you say the State dropped your insurance, was that Medicaid or an Employer Health Plan?

Rhodeguy profile image
Rhodeguy in reply towizzard166

I live in Massachusetts and currently on mass health..I just came back from social worker and I'm staying on this plan till October ,then they will hook me up thru health connector.im.54

wizzard166 profile image
wizzard166 in reply toRhodeguy

I'm happy this worked out for you. Good luck

Carl

Katie-LMHC-Artist profile image
Katie-LMHC-Artist in reply toRhodeguy

Shoutout to another Massachusetts person!!! We are lucky to live in this state where there are a lot of resources! Good luck with your insurance!!!

Rhodeguy profile image
Rhodeguy in reply toKatie-LMHC-Artist

Hello there shout out to you as well..yes Massachusetts def has the best insurance and resources ..mass health agent hooked me up with insurance ..I can stay on mass health for a bit,then will be helped thru connector

Rhodeguy profile image
Rhodeguy in reply towizzard166

Ty Carl..god bless

Ebenezer68 profile image
Ebenezer68

the pharmacist at my hematology practice set up everything for grants etc. I have been on imbruvica for 2 yrs.

Rhodeguy profile image
Rhodeguy in reply toEbenezer68

Thank you for info,didn't realize my Dr could do that .

Mahunny profile image
Mahunny

you can also try to look on the manufacturer website. many have "copay" programs that cover the cost of copay or complete payment for the drug. My copay is covered for Calquence. It was a very welcome discovery!

Rhodeguy profile image
Rhodeguy in reply toMahunny

Ty for great info..will definitely look into that with my dr

I have two oncologists. (1) my local, (2) Dana Farber in Boston. Both referred me to the financial navigator. There is plenty of help out there. Check out LLS.org for more help. Your Social Worker can help you get onto disability if you need to. If you go that route, contact a disability lawyer for help. If your claim gets accepted, the lawyer will take 1/3 of the back money, not your monthly check. Over the years, I have helped some of my clients apply for disability. Again, unsure if you need to go that route! Take care!

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