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I Can’t Get Treatment Approved By Insurance. First Tried Infusion Now Humira Both Denied. What Should I Do?

A MySpondylitisTeam Member asked a question 💭
Willow Grove, PA
December 1, 2024
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A MySpondylitisTeam Member

@A MySpondylitisTeam Member. You can also go with antioxidant supplements that act against TNF-A, the cytokine Humira targets, according to literature at the National Institute of Health. I did that a year ago after Humira and 4 other biologics i tried not only failed to help me but made my overall health much much worse. After 3-4 months on better diet and supplements that target inflammation (NIH. gov), my overall average pain and fatigue levels dropped by a daily average of 4 points. Details can be read on my wall under treatments and updates tabs. Yours in better health, P☺️🙏

December 2, 2024
A MySpondylitisTeam Member

Abbvie has a copay assistance program that you can sign up for as long as you have private insurance. I was able to get Humira previously for $0 out of pocket. 😉 I also used them previously for Rinvoq, and other drug manufacturers have similar programs.

December 1, 2024
A MySpondylitisTeam Member

If your insurance has denied coverage for both infusion treatments and Humira, consider the following steps:

1. Talk to Your Doctor: Discuss the insurance denial with your doctor. They may provide additional documentation or suggest alternative treatments
2. Preapprovals: Ensure you have preapprovals for treatments. Show Full Answer

If your insurance has denied coverage for both infusion treatments and Humira, consider the following steps:

1. Talk to Your Doctor: Discuss the insurance denial with your doctor. They may provide additional documentation or suggest alternative treatments.
2. Preapprovals: Ensure you have preapprovals for treatments. Confirm coverage before appointments by asking for procedure and diagnosis codes.
3. Negotiate: If insurance won't cover it, ask your doctor if they can offer a discount or set an affordable fee.
4. Financial Assistance: Look into financial assistance programs from drug manufacturers or nonprofit foundations.

For more detailed tips, you can refer to the article "How To Reduce Medical Bills: Top Financial Expert Shares 10 Tips" on MySpondylitisTeam.

December 1, 2024

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