› Forums › General Melanoma Community › Yervoy insurance coverage question
- This topic has 6 replies, 2 voices, and was last updated 12 years, 1 month ago by Lucassi.
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- March 28, 2012 at 4:27 am
After 2 year NED my husband is now stage 4. A needle biopsy confirmed metastatic melanoma in the lung. The oncologist is recommending Yervoy. Mike has Medicare and supplemental coverage with AARP, plan F. I know that Medicare will cover 80% of the drug cost but I do not know if the supplemental insurance covers this type of drug/treatment. Was hoping someone on this board may have the answer. I do plan to call the insurance in the morning but wanted to find out if someone else has a similar insurance situation. Thank you in advance for any help you
After 2 year NED my husband is now stage 4. A needle biopsy confirmed metastatic melanoma in the lung. The oncologist is recommending Yervoy. Mike has Medicare and supplemental coverage with AARP, plan F. I know that Medicare will cover 80% of the drug cost but I do not know if the supplemental insurance covers this type of drug/treatment. Was hoping someone on this board may have the answer. I do plan to call the insurance in the morning but wanted to find out if someone else has a similar insurance situation. Thank you in advance for any help you can offer.
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- March 28, 2012 at 3:29 pm
We don't have this situation, but our insurance company is getting billed US$ 36.000 per dose, and the insurance company paid out just over $22,000, which is the negotiated rate with the specialty pharmacy company. We didn't have any out of pocket expense as we have already met our deductible and out of pocket maximum for the year. There is a Yervoy co-pay program for people with commercial insurance. From the yervoy.com website Paying for Yervoy http://www.yervoy.com/patient/paying-for-yervoy.aspx there is a question/answer that might be of help for you:
Can you help me if I don't qualify for the YERVOY Co-Pay Program?
Bristol-Myers Squibb is committed to helping support access to YERVOY.
Your oncologist can work with Destination Access™ counselors to identify other potential programs if you do not qualify for the YERVOY Co-Pay Program. Your oncologist can contact Destination Access™ by phone at 1-800-861-0048, Monday through Friday, from 8:00 am to 8:00 pm ET.
Hope that helps!
Thanks,
Bruce -
- March 28, 2012 at 3:29 pm
We don't have this situation, but our insurance company is getting billed US$ 36.000 per dose, and the insurance company paid out just over $22,000, which is the negotiated rate with the specialty pharmacy company. We didn't have any out of pocket expense as we have already met our deductible and out of pocket maximum for the year. There is a Yervoy co-pay program for people with commercial insurance. From the yervoy.com website Paying for Yervoy http://www.yervoy.com/patient/paying-for-yervoy.aspx there is a question/answer that might be of help for you:
Can you help me if I don't qualify for the YERVOY Co-Pay Program?
Bristol-Myers Squibb is committed to helping support access to YERVOY.
Your oncologist can work with Destination Access™ counselors to identify other potential programs if you do not qualify for the YERVOY Co-Pay Program. Your oncologist can contact Destination Access™ by phone at 1-800-861-0048, Monday through Friday, from 8:00 am to 8:00 pm ET.
Hope that helps!
Thanks,
Bruce -
- March 28, 2012 at 3:29 pm
We don't have this situation, but our insurance company is getting billed US$ 36.000 per dose, and the insurance company paid out just over $22,000, which is the negotiated rate with the specialty pharmacy company. We didn't have any out of pocket expense as we have already met our deductible and out of pocket maximum for the year. There is a Yervoy co-pay program for people with commercial insurance. From the yervoy.com website Paying for Yervoy http://www.yervoy.com/patient/paying-for-yervoy.aspx there is a question/answer that might be of help for you:
Can you help me if I don't qualify for the YERVOY Co-Pay Program?
Bristol-Myers Squibb is committed to helping support access to YERVOY.
Your oncologist can work with Destination Access™ counselors to identify other potential programs if you do not qualify for the YERVOY Co-Pay Program. Your oncologist can contact Destination Access™ by phone at 1-800-861-0048, Monday through Friday, from 8:00 am to 8:00 pm ET.
Hope that helps!
Thanks,
Bruce
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