Guest guest Posted April 11, 2004 Report Share Posted April 11, 2004 , As you may or may not know, we are battling the insurance company for payment of Peptamen, Jr. - a cost of $400/week for us. They refused to pay any of it! They have also refused to pay for Max's ght. Because there is legislation in NJ to have insurance companies pay for enteral feedings and because I know that ght is approved by the FDA for RSS/SGA kids, I went to our Assemblyman and Senator for help. I had to fax over the denial of insurance and proof that our old insurance used to pay for this stuff. They have their aides now going to the NJ Commissioner of Banking and Insurance to get us covered. They were more than happy to help. I never knew that these people would be so interested in helping us. Max is only one child and I did not think they would take on his case, but they have with flying colors. Perhaps that will work where you live? We are also fortunate that Dr. H. just gave us a whole bunch of gh that another patient is no longer using. That will tide us over for awhile until the ght mess is straightened out. But I also know that you can contact the drug company and they may help you out, too. Let me know if I can help you any further. Oh - Dianne, at MAGIC, is the new insurance guru. I have to admit that she was not much of a help for me, but maybe she can advise you. It's worth a try. Jodi Z. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2004 Report Share Posted April 12, 2004 , We just started genotropin and have a 45% copay. However, we've also got a $1000 maximum out-of-pocket on prescriptions so when we reach that amount (which will be very quickly with the cost of genotropin!) they will pay 100%. Maybe your plan has something like that, too. Sherri Mom to 6 yr old twins - Abby (RSS) and Sam (nonRSS) Paying for genotropin > Hi all- > > We have a new insurance and just found out that we have to pay 30% of > prescription costs. This means that we will pay $378.00 per month > for the GHT. Does anyone know of any program or way we can get help > paying this? Thanks! > > Fazzolari - mom to 4.5 year old Dominic, RSS, 24 pounds, 36 > inches tall, GHT, periactin, prevacid, miralax > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2004 Report Share Posted April 12, 2004 Sherri- Gosh I feel bad even complaining about my 30% when you have to pay 45%. We don't have an out of pocket max for prescriptions but do with the major medical. Thanks for the advice though! Good luck jennifer f. > , > > We just started genotropin and have a 45% copay. However, we've also got a > $1000 maximum out-of-pocket on prescriptions so when we reach that amount > (which will be very quickly with the cost of genotropin!) they will pay > 100%. Maybe your plan has something like that, too. > > Sherri > Mom to 6 yr old twins - Abby (RSS) and Sam (nonRSS) > > > > Paying for genotropin > > > > Hi all- > > > > We have a new insurance and just found out that we have to pay 30% of > > prescription costs. This means that we will pay $378.00 per month > > for the GHT. Does anyone know of any program or way we can get help > > paying this? Thanks! > > > > Fazzolari - mom to 4.5 year old Dominic, RSS, 24 pounds, 36 > > inches tall, GHT, periactin, prevacid, miralax > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2004 Report Share Posted April 13, 2004 Hi !! We use genotropin as well (and I am praying that this July my husband's job doesnt change insurance, since they have every year since he's been there. ours is covered 100% right now with no co- pay). I dont know if it pays for gh or if you would quailify, but maybe you could look into medicaid. We have it as a sencondary insurance (we got it when he started getting ssi). It might be something to look into. Good luck!! Jodie (nicholas-6nonrss, christopher-3 rss 23lbs 33 " ght genotropin .6, johnathon-9m nonrss) Quote Link to comment Share on other sites More sharing options...
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