Hi Linda,
It will depend on your individual policy. The combined cost for meds (interferon/ribavirin) will probably be around USD$ 2500/month to the insurance company; this will vary again depending on their contract purchases.
Some plans cover this under an Rx plan, and charge $20.00 -50.00/month. Others charge copays up to 33% for specialty injectables; in this case, you’re copay could be $825.00/month.
If you’re faced with unreasonable costs, I’d encourage you to call the manufacturers and inquire about their patient assistance programs. I used them for my second treatment, and they’re very helpful and professional. These programs are income rather than asset based; they don’t care if you have money in the bank, how many homes you owe, etc. They’ll probably review last year’s federal 1040 form, and possibly a bank statement or two. Sometimes they don’t even go that far. Here are the numbers again if you need them:
Pegassist (Roche Pegasys system): 1-877-734-2797
Commitment to Care (Schering- Plough PEG-Intron system): 1-800-521-7157
As he gets into treatment, it may become necessary to include ‘rescue’ drugs as well if his red or white cells require boosting. These drugs are very pricey as well, and there are patient assistance plans for these too.
I imagine you could call the phone number on your insurance card, and ask them to quote your monthly cost; there are a couple of drugs, so be sure to ask your doctor which brand (Pegasys/Copegus or Pegintron/Rebetol), and also dosing prior to calling. There are generics available for the ribavirin component, if that helps with cost.
Best of luck to your husband, and let us know how things proceed—
Bill
Hi I am new to the board. I am on my third week of treatment- and my copay is currently $15 for Ribavirin and $30 for the injections.
Off topic- but this forum is very helpful!
Wow, I’m so Jealous, my co pay is $525 per month. Fortunately, I have a $1500 maximum out of pocket annual limit. My insurance company failed to tell me that my policy had an out of pocket ceiling; I had to research it myself before deciding to undergo treatment. I guess they were hoping that I would opt not to treat if I thought I had to pay $10,000 out of pocket. Ironically, it would ultimately cost them a lot more money in the long run if I remained untreated and eventualy develop liver failure. Pardon my cynicism but I just don’t trust the insurance companies!