Incevek/Pegasys Medical Insurance Look Back?

[mac790]

Hello All, Null responder to Pegasys/RBV in 2009. I am on disability, and pay for medicare Part D administered through Blue Cross. So, I have "Rx insurance"- great. My co pays per month for Pegasys/RBV would be $125 for 48 weeks, and $5K per month for the three months of Incevek. That is AFTER spending enough to fall into the "Catastrophic Coverage" designation. So the three drug regimen for 48 weeks would cost over $20K. If I were to cancel my Part D, and thus have no Rx drug insurance, does anyone know if these companies or the PANF have a "look back" period? A "look back" period meaning: Before the states got wise to it, buying a home from a terminally ill family member for $1.00 allowed you to avoid the sales tax of the true value of the home. Now, the states have wised up and have a 5 year "look back" period; i.e. if you bought the home in 2005 for $1.00, but your relative died in 2009, you have to pay the taxes on the currently assessed value. Asking someone on disability to pay $20K for these drugs is nothing short of obscene, especially since I was treated previously making my chances of total viral clearance drop from 80% to less than 40%.  Thx and Good Luck To All, Mac790

[flcyclist]

If your copays for Inf/Riba are a total of $1,375 for 48 weeks (11 months), that's great!  It's the $15,000 for Incivek for 3 months that's the kicker.  As hrsperguy mentioned, explore the patient assistance programs and coupons available.  The other option is to explore trials.

[His way]

You say your chances of SVR drop from 80% to 40% because you were null responder to Peg/Rib. As I understand the 2 studies that I read through, this is not true. Your chance of SVR is much higher than 40%

[pooh55811]

I would just like to add that I do not think you should cancel your RX insurance. In my opinion, any one of us who as an illness, especially a chronic illness, should not ever cancel or let lapse his/her insurance policy. It will be difficult for us to obtain affordable health ins. in the future so we need to keep the policies we have.  (Your med co-pays, mainly the co-pay for Incivek, don't seem very affordable to me, but still, one would probably be worse off  without the insurance. You could develop other diseases for which you need that insurance.)

Hopefully the links above will get you the help for the meds that you need.

[hrsepwrguy]

You can apply for the meds for free from the pharma companies, you have to qualify but if you do you can get them for free

855-837-8394 Incivek patient assistance info(co pay help or finiacial assistance) .

877-734-2797 for pegasys assistance

888-437-2608 for pegintron and victrelis assistance