I have been a patient at Kaiser for 28 years. I have had no complaints to speak of. Easy access to treatment. Easy communication with my doctors. Not necessarily state of the art,I but evidence based approached to treatment. I have had botox for neck problems that have been wonderful. I get reimbursed for seeing an osteopath monthly outside of Kaiser because Medicare said it should be a covered benefit.
Now I think I might have to switch plans in order to have access to Actemra.Just don't know how to evaluate how important Actemra is for me.
I was diagnosed with PMR about a year ago, started on 15, up to 20 after three weeks, and down to 8.5 now with one flare @14mg.(markers both up, not many other symptoms) that responded to a return to higher dosage for a short while.
I take Rayos delayed release Pred at night.
I have a good relationship with my Rheumy but Kaiser is conservative. She also describes herself as conservative. Should I run into trouble as I taper lower, I'll have to try methotrexate for a few months before she'll try Actemra. She reminded me that I have a history of diverticulitis, which could be a problem with Actemra. I haven't had a problem in more than a decade. Almost all people my age have diverticulosis.
What would those of you who have had Actemra do? Would others of you change Health plans to get access to it without having to go through methotrexate and marking time?