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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I Have A Question About The Humira Co-pay Card. Is Anyone Who Has It On Medicare And Not Receiving The Low Income Subsidy.?

A myRAteam Member asked a question 💭
Imperial, MO

I've read on the Humira site that if you are on Medicare and not receiving the low income subsidy, that you do not qualify for the savings card. I am trying to figure out if I will qualify.

August 8, 2018
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A myRAteam Member

My husband and I have Humana Advantage Medicare plan. He bought his several years ago. You aren’t suppose to have to get a supplement with the advantage plan. My Employer provides mine and it is a better plan which I’m sure costs more than his plan. We both have copays on doctor visits and medicine. Mine pays some better on major things like medicine that is costly and Hospital stays ect. But it is very hard when you get in the donut hole where everything goes up for you. You might try calling Humana during the time you can change coverage and see what the difference is in out of pocket expenses with the Advantage plan. I am provided with a nurse who checks on me to see if I need anything and she always asks if I’m being able to afford my medicine. She gives me tips on things I can try and does try to help me find cheaper medicine when it’s really high. I’m not sure about other insurance companies. But I believe most of them have a advantage plan.

August 12, 2018
A myRAteam Member

my hubby's doctor found that he had AIDS (its all cured now) the meds for it were $700 PER PILL! we were told to try PAN foundation and they covered every penny of it. panfoundation.org

August 10, 2018
A myRAteam Member

You're right about the discount. You can try contacting Abbve about their low income assistance program.

August 9, 2018
A myRAteam Member

Pat I am glad you can vent here and get it off of your chest. Yes it is extremely expensive. Maybe AARP will start to work on the drug companies for seniors. I think it is the senior citizens who are getting stuck by the drug companies. It's the senior citizens who have money saved for health care and the drug companies want that money.

I have insurance through my husband's union and it covers Humira for me except $50.00 and the Humira card picks up $45.00 of that so I pay $5.00 a month for 2 shots 40mg each. I have 8 years to go before I will be on Medicare. I hope something changes by then.

I do think since you have supplemental insurance coverage you will be okay and your application will be approved.

And Mike is right, worrying about it until you know for sure won't help your RA. Hugs my friend and we need @A myRAteam Member to answer this question. She knows so much more than anyone else about RA and everything that accompanies it.
🤗🤗🤗

August 9, 2018
A myRAteam Member

I am on Medicare and because I had a reaction to infusion drug, my doc wanted me to just get shots, as an outpatient. Insurance rejected it and the doctor appealed. One day this company calls and says that the drug was approved and my co-pay for THREE shots was going to $2,830! I told my doctor and he said that that was ridiculous and he started another infusion protocol. This was covered by Medicare and my excellent supplemental, where the shots were against the Part D of Medicare. I don't know if the card can save you money, but try to get it covered under Medicare and the supplemental.

August 8, 2018

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