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What Do You Do When You Reach Medicare And They Don’t Cover Your Biologiic Enbrel

What Do You Do When You Reach Medicare And They Don’t Cover Your Biologiic Enbrel

Going into Medicare and have been on Enbrel for 10 yrs. It works better then anything else I’ve tried. But now I can’t afford the medication because it’s so costly. And Medicare wont help.
Does anyone know of an alternative or have similar problem?

posted 15 days ago
A myRAteam Member said:

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!

posted 6 days ago
A myRAteam Member said:

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.

edited, originally posted 12 days ago
A myRAteam Member said:

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

posted 15 days ago
A myRAteam Member said:

Thank you Wendy😀

posted 5 days ago
A myRAteam Member said:

Hi Can, thank you for the info. All the carriers cover the Enbrel but leave me with an out of pocket cost of one thousand a month which I can’t afford. But I will reach out to my Dr regarding this suggestion.

posted 12 days ago
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