Turn to Ted: MS medicine

Turn to Ted: MS medicine


DAILY DRUG TO KEEP HER MULTIPLE SCLEROSIS IN CHECK. BUT THE MONTHLY COST WAS COMPLETELY OUT OF REACH. >>>FOR SOME REASON SO WAS THE DRUG COMPANIES OFFER OF FINANCIAL ASSISTANCE. OF COURSE UNTIL SHE TURNED TO TED. >>>AFTER YEARS OF LIVING WITH MULTIPLE SCLEROSIS, SHE TREATS IT WITH A DAILY DOSE OF THE DRUG. >>WILL THEY ADVISE YOU NOT TO MISS IT. >>>HAVE YOU MISSED IT? >>YES I HAVE. >>THE DRUG COSTS $6,000 A MONTH, EVERY MONTH, CAROL’S INSURANCE WON’T PAY UNTIL SHE MEETS A $6,000 ANNUAL DEDUCTIBLE. THE DRUG MAKER, THOUGH, DOES HAVE ASSISTANCE PLANS. >>IF YOU CAN’T AFFORD TO PAY WE DO HAVE SERVICES. >>>THEY ARE MOSTLY FOR CO-PAYS NOT DEDUCTIBLES CAROL SAYS BLUE CROSS NO LONGER ACCEPTS DRUG COMPANIES TOWARDS DEDUCTIBLE MAKING THE DRUG COMPANIES HARD TO USE. >>HAS THAT WORKED OUT FOR YOU? >>NO IT HASN’T. >>>AFTER NUMEROUS CALLS FROM CAROL AND TIME RUNNING OUT FOR A NEW DOSE, WE CALLED HER INSURANCE COMPANY, HER PHARMACY AND THE DRUG MANUFACTURE. BLUE CROSS BLUE SHIELD OF TEXAS TOLD US THEY CAN’T DISCUSS INDIVIDUAL CASES BUT SENT A STATEMENT, WE’RE CONTINUALLY WORKING TO IMPROVE OUR PROCESSES AND THOSE OF OUR VENDERS TO ENSURE OUR MEMBERS CLAIMS AND REFILL REQUESTS ARE HANDLED APPROPRIATELY. WHEN WE IDENTIFY GAPS IN OUR PROCESS, WE PROMPTLY ADDRESS THEM AS WE ARE COMMITTED TO PROVIDING OUR MEMBERS WITH THE HIGHEST POSSIBLE LEVEL OF SERVICE. THE DRUG MAKER, SANAFY, COULDN’T TALK ABOUT THE RECORD ON MS. GRANT’S CASE, TOLD US ABOUT ASSISTANCE OFFERS INCLUDING A PATIENT ASSISTANCE PROGRAM WHERE QUALIFYING UNINSURED OR UNDER INSURED PATIENTS RECEIVE OBAJIO FREE OF CHARGE, BOTH COMPANIES WERE EAGER TO HAVE THE CASE RESOLVED. >>I FINALLY GET MY MEDICATION. >>>SO IS CAROL. >>>THE REASON I THINK I GOT IT IS BECAUSE I REACHED OUT TO YOU. >>>CAROL WAS ALL SET FOR LAST MONTH WHEN WE GOT INVOLVED TOLD ME THIS MORNING SHE STILL DOESN’T HAVE HER MEDS FOR NEXT MONTH. WE’RE STILL CHECKING

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