Guest guest Posted October 19, 2005 Report Share Posted October 19, 2005 Hi all. Can anyone tell me where I can find info to explain the " numbers " in the tests they use to dx RA? My rheumy's office still says they cannot see me for a month so I saw my GP today. They faxed my file to him but skipped the page with some of the blood tests on it. The one that he was interested in was not the sed-rate one, the other. He gave me Celebrex and Nexium and said if it didn't help enough, come back. He said insurance wouldn't approve it for him to write the rx for MTX. He said that insurance doesn't always pay for those treatments either. Any experience, either way? Thanks, have a good night. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2005 Report Share Posted October 20, 2005 My site has a web page dedicated to lab tests: http://arthritissupport.info/Lab%20Tests.html Hope this helps. I'm not sure why your doctor can't prescribe mtx, but the injectable is very cheap. I got a bottle that will last many months for $36.00. You can put it in orange juice and drink it if you don't want to inject it. It's cheaper than the pill form. I've never heard of anyone being denied coverage for mtx. The more expensive biological drugs may be turned down if not ordered by a rheumatologist. a On Oct 19, 2005, at 7:02 PM, eandsspivey wrote: > Hi all. Can anyone tell me where I can find info to explain > the " numbers " in the tests they use to dx RA? My rheumy's office > still says they cannot see me for a month so I saw my GP today. They > faxed my file to him but skipped the page with some of the blood tests > on it. The one that he was interested in was not the sed-rate one, > the other. He gave me Celebrex and Nexium and said if it didn't help > enough, come back. He said insurance wouldn't approve it for him to > write the rx for MTX. He said that insurance doesn't always pay for > those treatments either. Any experience, either way? > Thanks, have a good night. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2005 Report Share Posted October 20, 2005 I'm not sure why your GP could or would not prescribe MTX for you. Mine did for several months when I was between Rheumy's. No problem with insurance at all. --- a <a54@...> wrote: > My site has a web page dedicated to lab tests: > > http://arthritissupport.info/Lab%20Tests.html > > Hope this helps. I'm not sure why your doctor can't > prescribe mtx, > but the injectable is very cheap. I got a bottle > that will last many > months > for $36.00. You can put it in orange juice and drink > it if you don't > want to inject it. It's cheaper than the pill form. > I've never heard > of anyone being > denied coverage for mtx. The more expensive > biological drugs may be > turned down if not ordered by a rheumatologist. > > a > > > On Oct 19, 2005, at 7:02 PM, eandsspivey wrote: > > > Hi all. Can anyone tell me where I can find info > to explain > > the " numbers " in the tests they use to dx RA? My > rheumy's office > > still says they cannot see me for a month so I saw > my GP today. They > > faxed my file to him but skipped the page with > some of the blood tests > > on it. The one that he was interested in was not > the sed-rate one, > > the other. He gave me Celebrex and Nexium and said > if it didn't help > > enough, come back. He said insurance wouldn't > approve it for him to > > write the rx for MTX. He said that insurance > doesn't always pay for > > those treatments either. Any experience, either > way? > > Thanks, have a good night. > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2005 Report Share Posted October 20, 2005 I never did report back about what I did when the overwhelmed rheumatologist seemed to stop doing prescriptions. I went to my PCP and told her I wanted her to be my rheumatologist until I could find another one. So she wrote me prescriptions for Celebrex and Enbrel. She made it plain that she didn't want to have the job permanently, though. I don't think she felt comfortable monitoring me on Enbrel. I guess the insurance company didn't turn the prescription down, since I'd already been approved for Enbrel for a couple of years, because I got some Enbrel before mine ran out. Medicare paid 80% of the overwhelmed rheumy's bill. I got a bill for $10 and something. I think they're going to have a hard time getting that $10 from me. Sue On Thursday, October 20, 2005, at 08:29 PM, a wrote: > I've never heard of anyone being > denied coverage for mtx. The more expensive biological drugs may be > turned down if not ordered by a rheumatologist. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2005 Report Share Posted October 21, 2005 My insurance did not pay for injectable MTX unless I went through their mail order pharmacy, which I did. Be careful with large bottles of MTX as some do not have a preservative in it, in which case it should be discarded 28 days after opening. > > > > > Hi all. Can anyone tell me where I can find info > > to explain > > > the " numbers " in the tests they use to dx RA? My > > rheumy's office > > > still says they cannot see me for a month so I saw > > my GP today. They > > > faxed my file to him but skipped the page with > > some of the blood tests > > > on it. The one that he was interested in was not > > the sed-rate one, > > > the other. He gave me Celebrex and Nexium and said > > if it didn't help > > > enough, come back. He said insurance wouldn't > > approve it for him to > > > write the rx for MTX. He said that insurance > > doesn't always pay for > > > those treatments either. Any experience, either > > way? > > > Thanks, have a good night. > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2005 Report Share Posted October 23, 2005 a, I was denied self injectable MTX.. but they were willing to cover Enbrel..go figure. They would only cover the MTX if I went into the doctors office every week. That would cost me 250.00 for the deductables, plus 3 hours drive time, time in office and gas..cheaper for me to pay for the MTX myself.. This whole insurance things sucks. Faith in california > > > Hi all. Can anyone tell me where I can find info to explain > > the " numbers " in the tests they use to dx RA? My rheumy's office > > still says they cannot see me for a month so I saw my GP today. They > > faxed my file to him but skipped the page with some of the blood tests > > on it. The one that he was interested in was not the sed-rate one, > > the other. He gave me Celebrex and Nexium and said if it didn't help > > enough, come back. He said insurance wouldn't approve it for him to > > write the rx for MTX. He said that insurance doesn't always pay for > > those treatments either. Any experience, either way? > > Thanks, have a good night. > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2005 Report Share Posted October 25, 2005 My GP is the one that said he couldn't write the rx for mtx. He said the insurance wouldn't cover it unless a rheumy wrote it. Hopefully she will when I see her next month. Another question - since this is a form of chemo, will my hair fall out? What is left, most of it has already fallen out! > > > > > Hi all. Can anyone tell me where I can find info to explain > > > the " numbers " in the tests they use to dx RA? My rheumy's office > > > still says they cannot see me for a month so I saw my GP today. > They > > > faxed my file to him but skipped the page with some of the blood > tests > > > on it. The one that he was interested in was not the sed-rate > one, > > > the other. He gave me Celebrex and Nexium and said if it didn't > help > > > enough, come back. He said insurance wouldn't approve it for him > to > > > write the rx for MTX. He said that insurance doesn't always pay > for > > > those treatments either. Any experience, either way? > > > Thanks, have a good night. > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2005 Report Share Posted October 25, 2005 My GP is the one that said he couldn't write the rx for mtx. He said the insurance wouldn't cover it unless a rheumy wrote it. Hopefully she will when I see her next month. Another question - since this is a form of chemo, will my hair fall out? What is left, most of it has already fallen out! > > > > > Hi all. Can anyone tell me where I can find info to explain > > > the " numbers " in the tests they use to dx RA? My rheumy's office > > > still says they cannot see me for a month so I saw my GP today. > They > > > faxed my file to him but skipped the page with some of the blood > tests > > > on it. The one that he was interested in was not the sed-rate > one, > > > the other. He gave me Celebrex and Nexium and said if it didn't > help > > > enough, come back. He said insurance wouldn't approve it for him > to > > > write the rx for MTX. He said that insurance doesn't always pay > for > > > those treatments either. Any experience, either way? > > > Thanks, have a good night. > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.