Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 That is such good news! Glad your insurance got on the ball! I am looking forward to being able to work in my yard next spring. I start the shots July 26! Yay! Adah uca79iii <uca79iii@...> wrote: When I got the statement from my insurance a few days ago, I noticed that they paid 100% of my last allergy shot. " Hmmm " I said to myself; " this has to be a mistake. " When I got my bi weekly Xoliar shots today at my allergist's office they told me that the large clinic that owns their practice office are finally BACK IN my BLUE CROSS NETWORK! HALLELUJAH! With my surgery and other doctor visits this year, I have alerady met my 2006 IN network deductible. Now ALL my shots INCLUDING xolair are 100% covered until 2007. (Except my 38.00 coy payment for the xolair itself.)In 2007, the insurance will pay 90% once again. I almost had to quit taking Xolair due to the cost of administration. 114.00 a shot, 2 shots every 2 weeks and insurance paying only a small part of it. This is great news for me. Doug --------------------------------- Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Good job Doug, I was having the same trouble getting BCBS to cover the insurance so I looked everywhere for another alternative funding source. I recently received a call from CuraScript which is a pharmaceutical company who said they would cover my co-payments in full, however, the representative also told me the money was being covered by the Chronic Disease Fund; a charitable organization. This all well and good but after speaking with a representative of the fund they could not guarantee how long the fund would remain fluid because they depend on charitable donations. Plus, the person on the other end of the phone was rather abrupt, rude and did not come across with a positive attitude. The fund has existed for 3 years so far which I suppose indicates some level or reliability. When I looked at their web page (www.cdfund.org) I saw Xolair was indeed one of the medications approved by the fund (so were about a dozen or more each of them just as expensive or more expensive than Xolair) so at least this backed up their statements. The fund supports about 500 patients at this time with more patients getting approved daily. They would not tell me how much was in the fund but I figure there must be at least $500,000 (approximately $1,000.00/patient) or more donated every year. How long will this continue. Your guess is good as mine. I have been on Xolair for about 6 months now and I have not paid a cent in co-payments because of all the run-around I have been getting with BCBS along with trying to find an organization that would help me with paying for the co-payments or the entire cost of the medication. The co-payments have accumulated to an amount over $700.00. My persistence finally paid off, I convinced BCBS to pay 90% of all costs with me paying 10%. If I chose to use the fund, I would be required to immediately come up with the $700.00 before anything was paid by the fund. The fund will not pay for any pre-existing debts. Payments out of the fund start the day you are approved provided all outstanding medical debts have been paid. Within the last 6 months, I have accumulated almost $900.00 toward the maximum $1,000.00 out-of-pocket expense set by BCBS. So, this means I only need to pay $100.00 more out-of-pocket expenses (via regular drugs, office visits, etc.) and everything, including the $700.00 back bills will be paid for the rest of the year at 100%. This being the case, we made the decision not to use the fund and stay paying for the Xolair through BCBS. It is too bad the out-of-pocket expense limit starts over each year. ~STEVE ZIMMERMAN, CPM, CVOM~ ________________________________ From: [mailto: ] On Behalf Of Adah Voigt Sent: Friday, July 14, 2006 1:08 PM Subject: Re: [ ] Good news That is such good news! Glad your insurance got on the ball! I am looking forward to being able to work in my yard next spring. I start the shots July 26! Yay! Adah uca79iii <uca79iii@... <mailto:uca79iii%40> > wrote: When I got the statement from my insurance a few days ago, I noticed that they paid 100% of my last allergy shot. " Hmmm " I said to myself; " this has to be a mistake. " When I got my bi weekly Xoliar shots today at my allergist's office they told me that the large clinic that owns their practice office are finally BACK IN my BLUE CROSS NETWORK! HALLELUJAH! With my surgery and other doctor visits this year, I have alerady met my 2006 IN network deductible. Now ALL my shots INCLUDING xolair are 100% covered until 2007. (Except my 38.00 coy payment for the xolair itself.)In 2007, the insurance will pay 90% once again. I almost had to quit taking Xolair due to the cost of administration. 114.00 a shot, 2 shots every 2 weeks and insurance paying only a small part of it. This is great news for me. Doug --------------------------------- Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 > > That's great news! We had some ourselves...DS had his allergy shots > reduced to once a month and the doctor was hopeful that in two years > Xolair and allergy shot could be stopped completely. That was the > best news we have had in a very long time! > > Thanks Adah, Steve and BJ Getting off of shots forever??? Now that WOULD be a miracle for me. I have been taking allergy shots since 1959. From 1965-2002, I gave them to myself. In 2002 my allergy clinic in Little Rock decided that due to the chance of reactons, they would stop letting patients home self inject. I moved to this town in 2003. The allergy clinic here is even more picky. They make me wait the FULL 20 minutes after a regular shot and 30 after Xolair. I have been to many doctor clinics in my 51 years and I can honestly say that my current allergy clinic has the NICEST, CARING, COMPASSIONATE and HELPFUL staff I have ever seen. I don't mind going to the office to get my injections. It's like going to see a group of my good friends Doug Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2006 Report Share Posted October 28, 2006 After 3yrs I have the chance to go back to work. I've been out all this time with asthma and major complications from the evil candy. My drs(one of which is my boss) think I have improved to the point I can go back full time. I haven't used my nebs or preventive meds since Feb; just my rescue inhalor and xolair. I'm excited and terrified at the same time. My job(stress) and my workplace(environment) played a part in the major attack that almost killed me. The office is moving in Nov. to a brand new building and this job description is SUPPOSED to be less stressful. I'm still not allowed to get a cold or cough but being stuck in my house has gotten very old, especially since I'm feeling good. Keep me in your prayers-this is a MAJOR step. becki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2006 Report Share Posted November 6, 2006 THAT'S GREAT NEWS, GREG! THANKS FOR LETTING US KNOW! > > Hello all - great to see all of the new members. I haven't posted > in awhile, but still keep up with the group. > > I have been on xolair for three years after a lifelong battle with > asthma. During this time, I have seen steady improvement in my > asthma symptoms, to the point that I no longer carry a rescue > inhaler. I also am able to enjoy a number of activities that were > previously off-limits, or at least would require the frequent use of > proventil. > > I saw my allergist recently and had a pulmonary function done. The > remarkable news is that my lower airway function, which had been > steady at about 20%, had actually improved to about 30% since last > year. While this isn't conclusive, I am hoping that this might be > the signal of continued improvement. The remarkable thing about > this was the test was following a weekend of camping with my son > (ie: campfire smoke, moldy tent, etc.). > > I doubt I will ever be joining Lance Armstrong in the NYC marathon, > but at least I am able to participate in life. > > Hope you are all doing as well. > > Greg > Quote Link to comment Share on other sites More sharing options...
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