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Unread 11-04-2008, 12:29 AM   #1
jr70895
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Default Which insurance company will pay for Suboxone

Currently do not have any health insurance but looking into it. Can anyone please tell me which health companies cover Suboxone script. Currently paying $480.00 for 90 8mgs... and taking 3 per day plus $225.00 for the doctor..

Thanks for any help
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Unread 11-04-2008, 02:45 AM   #2
mikells43
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it is up to you to look at each individual company. do u quailfy for your states medicade? do u make alot of money? if so then u prob dont qualify for medicade.

but look into blue cross. others will be able to help u out more. im on medicade so it pays for it. i have a minimal copay.
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Unread 11-04-2008, 06:25 AM   #3
flier1
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I have had Anthem of Ohio and my meds were a 30 dollar Co-pay, and now we have Medical Mutual and my Co-Pay is 20 dollars. Both of my Dr office Co-pay were 30-36 dollars.
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Unread 11-04-2008, 06:56 AM   #4
wlly2532
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blue cross blue shield covers and aetna does also depending on the plan
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Unread 11-04-2008, 08:51 AM   #5
glen
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Quote:
Originally Posted by wlly2532 View Post
blue cross blue shield covers and aetna does also depending on the plan
hello, i am trying to find a DR, that will take my mmedicard card, i live in KY and all the DR,s want you to turn in the forms yourself, it yould be hard for me to pay cash, and wate for reinbursment, thanks all.,,
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Unread 11-05-2008, 01:07 PM   #6
azg2b
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I have United Health Care and my Sub rx costs me $50/month (60/8mg pills).

j
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Unread 11-05-2008, 03:11 PM   #7
rag-doll
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united health, I have a $40.00 co-pay,but I had to get prior authorization before they would pay
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Unread 11-05-2008, 11:31 PM   #8
Done
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I currently have bc/bs I just got a refill I paid $45.00 for 45 pills. Bc/bs also covers my Dr appt...I am seeing a pain specialist.
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Unread 11-23-2008, 01:53 PM   #9
teresaP
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I have medicare and my perscription part D is healthnet orange and they will not pay for my sub's. I take sub's for pain. But technically for narcotic use as well because before sub's I was on narcotics for years. Does anyone know if there is another perscription part D insurance that I could switch to who would pay at least part of the cost of my sub's??
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Unread 11-23-2008, 08:55 PM   #10
sunflower1776
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When I had insurance, I had great-west healthcare insurance. I paid $20 for 90 pills.
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Unread 11-23-2008, 09:36 PM   #11
sodapopok
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Smile aarp drug plan

Quote:
Originally Posted by teresaP View Post
I have medicare and my perscription part D is healthnet orange and they will not pay for my sub's. I take sub's for pain. But technically for narcotic use as well because before sub's I was on narcotics for years. Does anyone know if there is another perscription part D insurance that I could switch to who would pay at least part of the cost of my sub's??

i use aarp medicare d drug plan
50 8 gram - my portion was $76.00 - was this a good price? sodapopok
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Unread 11-23-2008, 10:42 PM   #12
teresaP
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Quote:
Originally Posted by sodapopok View Post
i use aarp medicare d drug plan
50 8 gram - my portion was $76.00 - was this a good price? Sodapopok
way better than my cost!!!!
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Unread 11-24-2008, 11:51 AM   #13
NYGurl56
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Hi everyone, I am new to this forum and this is my problem also. I live in Westchester County in NY and ALL the Dr.'s here ONLY accept CASH. No type of Insurance do they take so therefore I am unable to get Suboxone treatment. I hope that changes but I've been trying consistently for at least 3-5yrs. with no luck. I applied for a " study " but because I am on meds for depression and panic/anxiety disorder along with high blood pressure meds I did not qualify. If anyone has any options that I am not aware of PLEASE let me know. Thanks.
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Unread 11-24-2008, 12:11 PM   #14
Done
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Nygurl56

The only thing i can think of is to try to expand your search....

IF I did not have insurance,the cost of seeing my dr would have been $200.00 for the initial visit, then in 2 weeks the follow up would be $50 and if all was well he would then move your appt to monthly visits for $50.00.

What do they charge for the initial visit??

Keep trying, good luck
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Unread 11-24-2008, 12:21 PM   #15
NancyB
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Hi NYGurl56, have you checked to see if you can submit the doctor's bills on your own and get reimbursed? Providing that you have the money upfront for the appointments.

Sometimes that information will be on the insurer's website.

Also, did you try the matching system and put your insurance in the Statement to the Doctor section?

https://www.naabt.org/patient_doctor/patient_login.cfm

Best wishes.
Nancy
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Important disclaimer: Any information in this post is not and does not constitute medical advice under any circumstances. Addiction Survivors, Inc. does not warranty or guarantee the accurateness, completeness, adequacy or currency of the information contained in or linked to the Site. Your use of information on the Site or materials linked to the Site is entirely at your own risk. NEVER take any online advice over that of a qualified healthcare provider. Any information contained on AddictionSurvivors.org should only serve to inspire further investigation with credible, verifiable references sources such as your physician or therapist.
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Unread 01-15-2009, 12:42 PM   #16
SgtsWife
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I have been looking into a way to get a break on my doctor and prescription costs. My husband is military, so we have Tricare insurance. When I lived in Georgia, my dr visits were covered by my insurance, but none of the doctors in this area accept Tricare for Suboxone patients (which is crazy considering the is an Army Base here). I love the doctor I go to though and my intial visit was $225, and each visit after that one is $125. I am applying for the assistance program from Reckitt Beckinser though him to get my medication for free, but I also have looked at some of the insurance companies on here for quotes. I got one from Blue Cross/Blue Shield that would be $120 a month with a $1,000 deductible, and after that my meds would only cost me $30 a month. I am currently paying $622.98 for a prescription of 90 8mg tabs. Even with the deductible and monthly fee, it is alot less than what I have been paying.
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Unread 01-15-2009, 01:50 PM   #17
NancyB
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Hi SgtsWife and welcome. Here's a thread that has free prescription discount cards which have saved a bunch of people money. Also shop around to see if you can find any lower prices. Some of the smaller, independent pharmacies have had lower prices than some of the chains.
http://www.addictionsurvivors.org/vb...ad.php?t=12915

How long have you been taking Suboxone, have you always taken 24mg a day, or is the prescription for longer than a month?

Nancy
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Important disclaimer: Any information in this post is not and does not constitute medical advice under any circumstances. Addiction Survivors, Inc. does not warranty or guarantee the accurateness, completeness, adequacy or currency of the information contained in or linked to the Site. Your use of information on the Site or materials linked to the Site is entirely at your own risk. NEVER take any online advice over that of a qualified healthcare provider. Any information contained on AddictionSurvivors.org should only serve to inspire further investigation with credible, verifiable references sources such as your physician or therapist.
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Unread 01-15-2009, 04:23 PM   #18
mom7785
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We went through the same thing with my son (he just got out of the Army). Your doctor can file for an "appeal" with Tricare and they will cover it 100% after it is approved...he would get it at Costco and no co-pay.

As far as the doctor visits, his doctor didn't do Tricare either so I would pay out of pocket and then submit that to Tricare for partial coverage.

It is very, very frustrating because the Army docs will prescribe Oxycontin no problem and the base pharmacy keeps that on stock. But no suboxone drs on base...and the pharmacy won't order it either.

Here's a sample dr letter: Fax to: TRRX Reconsiderations FAX: 866-374-5545


Dear Sir or Madam

I am writing this letter of medical necessity on behalf of X (Sponsor ID: XXXX ); Address: XXXXXX). I am X's treating psychiatrist. He/She is receiving treatment for Opiate Dependence. I am providing both psychotherapy and medication treatment with Suboxone and Subutex.

It is my understanding that TriCare is not agreeing to cover the cost of these medications. I would like to appeal this decision and ask that coverage for this medication be reconsidered. Suboxone and Subutex have been shown in multiple recent studies to be helpful in prevention of Opiate relapse and is superior to methadone maintenance.

Thank you for your consideration in this matter. Please feel free to contact me at xxxxxx.

Signed: Your Doctor.

You also have to first authorize your doctor to do this. Here is sample wording for that letter:
Fax to: TRRX Reconsiderations FAX: 866-374-5545

To Whom It May Concern:

I, XXXX, authorize Dr. XXXX, to appeal coverage for Suboxone and Subutex.

Thank you,


XX
(Sponsor #xxxx)
Phone Number

Last edited by mom7785; 01-15-2009 at 04:52 PM..
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Unread 02-25-2009, 03:21 PM   #19
Beinok
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Default Med discount

I have found a service (at least in Ca) that will give you up to 20% off precriptions simply by filling out some info.
http://www.rxsavingsplus.com/Default.aspx Hope this helps a bit.
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Unread 03-28-2009, 04:12 PM   #20
mmadness
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i hope by now you have found a provider. if you are still having problems, contact me. mcar428 at aol dot com (im from westchester cty too.)
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Unread 03-28-2009, 04:13 PM   #21
mmadness
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have you found something, if not, contact me.
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