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China_cat Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-16-05 12:18 PM
Original message
MS injectible meds
My son has MS. He's been on one of the injectible meds since Dec. (don't ask me which one, I can't keep them straight). Last month they had to change his medication because the first one wasn't working as well and was causing him some severe side effects.

The second medication is more expensive. Of course. But now his insurance provider has said 'we do not cover injectibles with the exception of insulin'. He can't afford the $1400/mo. out of pocket and they make too much to qualify for NC medicaid.

Does anybody have any ideas how we can make this work? He needs those meds. I can't help financially, but I can advocate for him wherever advocation might do some good.

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firefox Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-16-05 02:06 PM
Response to Original message
1. Well, I tried
My sister has MS and I had a bunch of links to send you concerning alternative health and testimony of cures.

Medicine only mask symptoms and does nothing for cure.

Read about alternative health, starting at CureZone.com. Here is the MS forum- http://curezone.com/forums/f.asp?f=6&t=50267 Read or search from any CZ page on FIR- far infrared saunas, chelation, toxins forum, Dr. Hulda Clark's book "A Cure For All Diseases", collodial silver- especially IV silver, and ozone/oxygen therapy.

Get plenty of vitamin D and omega-3. My sister takes fish oil.

There is a yahoo.group on MS you can read or join- http://health.groups.yahoo.com/group/DrClarkMSrelief/

You can get a test for mercury for $25 out of Chapel Hill. I read about it here on DU, but that is how I lost all of the last answer. I will edit this if I find that link.
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Warpy Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-16-05 02:50 PM
Response to Reply #1
2. True MS is not caused by mercury poisoning
although it should have been checked out at time of diagnosis.

Contacting the pharmaceutical company can sometimes help. They have programs for reduced drug costs for people who are poor and uninsured.

You have to jump through multiple hoops to get into these programs, but it's better than allowing MS to progress to the point that one automatically qualifies for Medicaid through total disability and depletion of personal cash reserves.

Medication that "masks the symptoms" is a great thing. Crutches are fantastic when that's the only way you can walk.

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China_cat Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-16-05 03:04 PM
Response to Reply #2
4. The thing is that they DO have insurance
but the company switched it's own procedures in mid-stream. While paying for the previous injectible meds, they now tell him they won't pay for ANY injectibles outside of insulin.

I don't have MS but I can't walk more than 20 ft and continue breathing. My son saw my purchase of a mobility scooter give me back my independece. So I agree with you completely about the crutches. You use what you need to be able to live and get around.

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China_cat Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-16-05 02:59 PM
Response to Reply #1
3. I'm sorry, but I'm not referring my son
to a bunch of quacks...and Hulda Clark is about the biggest quack out there.

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Sgent Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jun-18-05 04:07 AM
Response to Original message
5. He needs to talk to his doctor
and see if anything is available via the drug companies patient assistance programs (but I doubt it).

Your son's insurance company isn't making sense. They won't cover anything but insulin? It maybe that he needs to be admited to the hospital as an outpatient or to an infusion center to get coverage. Call his insurance company and ask for the MRO (Medical Review Officer).
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China_cat Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jun-18-05 05:54 AM
Response to Reply #5
6. I think it's all because
the new medication is so much more expensive than the last. They didn't want to put out fot the extra expense so they gave him a bullshit reason. Nowadays insurance companies can get away with anything they want.

He has checked with the doctor. Those pharma deals are only for those who are UNinsured or whose insurance does not cover any meds at all. If you're covered for anything, they won't even talk to you.

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Sgent Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jun-18-05 08:32 AM
Response to Reply #6
7. Assuming he has real insurance
And not Mega Life or something, it should be covered.

If I were him I would offer 100 bucks to the office manager to track down why his insurance isn't paying. She may have more resources at the insurance company than he does.
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