Good news! My insurance company covers both biologics mentioned by my rheumatologist. They require pre-authorization, but I expected that. The process is not supposed to take more than 72 hours. I think that means I won’t be able to get a shot at my next appointment, but will have to return for another appointment. I wonder if there’s a way to expedite the paperwork?
As a few people pointed out (I really appreciate all the help), Enbrel and Humira have a variety of assistance plans.
Humira has a copay assist plan. Here’s the link to their FAQ page. It really appears that their goal was only to claim they have a web page; I didn’t find it particularly helpful. As nearly as I can tell, they require a person’s financial information before determining qualification for any assistance. They don’t give an abundance of information on their website, and I have to wonder why the plan isn’t straightforward enough to clearly explain.
Enbrel also has a support program to help with copays. It does not appear that financial information is required. For people with commercial insurance (not taxpayer-funded medical care), there are no out-of-pocket costs for the first six months. After that, a maximum of $10 copay per month. Can that really be right?
So, if I accurately understand the information on Enbrel’s website correctly, that’s yet another reason to choose Enbrel instead of Humira.
WHEW! I can proceed with this treatment without putting my family in the poorhouse.
Things are looking up.
For those who have the Enbrel Support CoPay Card Program,
am I understanding this correctly? Is it really that easy?