I am on Medicare. There are a number of biologics covered under Medicare part B. That is traditional Medicare not Medicare advantage. I just started Orencia infusions and there is no charge except for the annual deductible (this year a one time charge of $262). If I got Orencia subcutaneous shots at home my part D copay would be $350 a month. Embrel part D copay is around $500 a month. I read that Medicare part B will cover Embrel shots given at home. There is no IV version of Embrel. Other TNF inhibitors like Embrel that are IV and covered under part B for in office infusion are Cimzia and Remicade. I hope this helps. If what I read is correct, you will be able to get Embrel free except for the annual deductible (which you pay anyway for the first doc visit(s) of the year) but you will need to sign up for traditional Medicare. I don't know the rules for Medicare advantage plans.

I am on Medicare and on Remicade. You have to have been on a lot of biologics before insurance will approve Remicade. Medicare has approved all of my biologics. You may have to switch to a different one. I realize it is a little scary for you. Enbrel is considered a basic biologic so moving to a different one will be a step up and probably WORK REALLY WELL FOR YOU. PLEASE EXCUSE MY ALL CAPS MY KEYBOARD GETS STUCK.

Hi there, im not on medicare, and I know that changes the programs Enbrel offers to help with paying, but I would call their support line (Phone number can only be seen by the question and answer creators), and see what they say!

You can have your Dr call into your insurance and tell them the enbrel is the only thing you can take right now. It's an appeal to their decision
and considered an emergency drug which your insurance is obligated to cover.

Contact the pharmaceutical company. Most have programs that either reduce or eliminate your cost. Your rheumy should be able to get you started with this. I have also used GoodRX and gotten a reasonable price. Best of luck to you.
Pat