Guest guest Posted December 1, 2010 Report Share Posted December 1, 2010 Well, we thought we were going to start with IVIG and then move on to Hizentra sub-q, but we have elected to stick with the hospital based infusions for now. I've spent the past few weeks trying to get things set up to do the sub-q and it's been a total pain in the rear. We have some changes to our insurance coming as of Jan 1 and the Hizentra will switch from our medical plan to our Rx plan. Welll, that means it will cost us more. Even this year, all drugs that go through specialty pharmacy (including equipment needed to do the infusion) must be paid out of pocket and then reimbursed by the insurance. The estimate for us to pay out of pocket each month was approx $7000+. The insurance rep said we'd be reimbursed within a month, but then of course I'd have to buy the next round etc. Not happening. If we stick with hospital infusions we have a $1500 cap for the whole year and then the rest is covered at 100%. Plus, he is tolerating the gammaguard really well with pretty much zero issues so at this point I'm feeling like we should just leave well enough alone. I'm under a great deal of stress right now as well and it was starting to stress me out that I was going to be the one respsonsible for doing his infusions at home. Add to that the head of one of our major home health agencies stated to me that they don't even do sub-q and haven't ever used Hizentra and I was a bit worried about really having enough support to get this started. So, that's where we are at! I'm curious if those of you on sub-q have to pre-fund your drugs and supplies as well? Mom to Caelan 11 Quote Link to comment Share on other sites More sharing options...
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