Humira - Financial Assistance Program

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MCPayne

Joined
Aug 26, 2008
Messages
108
Location
New Jersey
Hi everyone.

To those of you on Humira, do any of you have the Financial Assistance program that is offered through myhumira.com? The reason I ask, I have to switch to an Individual Health Care plan (as opposed to group), because of a merger in my company, and the new company doesn't offer insurance.

Anyway, most options by me only cover generic drugs, and not brand name drugs. For brand names, it was something like 50% co-insurance up to $500 per covered person per year.

If you are on the Humira Financial Assistance program, how does that work? I have to call my GI on Monday and explain the situation, but am thinking I may need to stop Humira.
 
Hi! I used to be on the patient assistance program where I received my Humira for free for a year and I am now on the Humira Protection Plan which reduces your copy down to as little as $5.

Basically, you will want to call up 1-800-4Humira (1-800-448-6472) Monday-Friday between 8:00AM & 8:00PM (I think, I'm not 100% on their closing hour) and talk to them. Tell them your situation and they will be able to help you figure out which assistance plan of theirs you will qualify for.

For the free Humira program, you and your doctor need to fill out the paperwork to submit to Abbot along with financial documents showing how much money you make, etc.

For the reduced co-pay plan, they will send you a card in the mail and then you call them to activate it. As the lady I spoke with today, Carol, told me, it basically acts like a secondary insurance for the Humira prescription, picking up the difference between what your insurance company will pay for the medicine and $5.
 
I created an account at myhumira.com. Frankly, it was a little too easy. Just fill out info about what disease you have, type of insurance, what kind of doc you see for it, etc. Took me maybe 10 minutes. And now my copay is $5. I didn't think they'd approved my since I have really good insurance, but they did.
This is another reason why I just love Humira.

edited to add:please do not stop humira because of this! That's what the protection plan is for. Get on the website asap!
 
I can't get the $5 copay card, because I'm on medicare. I'm waiting for approval from the Patient Assistance Foundation. They only pay $2500 a year. I have to pay 1/3 of the cost. Should get tough when I hit the medicare plan D limit.

They don't verify anything when you fill out the forms for the $5 copay? Does the card have your name on it or anything?

The Dr's office told me to come in and they would start me with samples, but when I got there, they said they didn't have any samples, and it would be weeks. So I wait...
 
Miss Underestimated- The card does have my name on it...but come to think of it, I don't remember having to submit anything specific like proof of insurance or whatever. Maybe they called my GI without notifying me. Who knows. I'm really sorry that it's different for people on Medicare, I didn't know that.
The health care system in this country is so absurd :yfrown:
 
Yes, especially because that's a law designed to prevent payoffs to politicians by drug company. Anyone getting any government benefit cannot get discounts or samples. As if I had a lot of influence and could be bought. People on medicare and Tricare are excluded from the freebies.

I am going to try to make something work. I'm a terrible typist with a horrible memory - total airhead. I make all kinds of mistakes. :D
 
I have to add that in this case, the healthcare community is doing everything they can to help. It's the government that screwed this up. :mad2:
 
I'm on the financial assistance program and trying to find the number to call to get my new shipment of Humira ordered. The 1800 4 Humira number isn't the right one apparently.
 
I guess 1 800 4 Humira is the right number. Took me forever to find the right selections on their automated system.
 
I hate those things!! I got caught in Humana's when I had a billing question, and need to talk to someone. I hit 0 when it paused for me to enter my selection - it ignored me and kept right on. Finally, out of sheer frustration, I pounded on the 0 bam bam bam bam!! It transferred me to a person - then, in the background, I heard a man's voice coaching her - I had gotten a trainee. sigh. I had to calm down real quick and be patient or my BP would have gone into stroke territory.
 
I was on Humira patient assistance program until I got insurance .... My dedectable is 3000 and im still responsible to 30% i cannot affod that ...... I know someone out there has extra meds they dont use ... I wonder what they do with them????
 
So i am trying to get on humira. Both cimzia and Remicade have failed. Problem is I have medicare part d due to disability for crohns, so i do not qualify for the discount card of $5. I went to get script and they said it would be 2606.00 for my part. I almost had a stroke! So does anyone know of any other help out there? Everything has picked up and i am no longer in remission and need help fast!
 
pcbgirl227 said:
So i am trying to get on humira. Both cimzia and Remicade have failed. Problem is I have medicare part d due to disability for crohns, so i do not qualify for the discount card of $5. I went to get script and they said it would be 2606.00 for my part. I almost had a stroke! So does anyone know of any other help out there? Everything has picked up and i am no longer in remission and need help fast!
Click to expand...

Have you talked to the people at Humira about your situation? They told me when I spoke with them about a program that is based on financial need. Not sure what they call the program or how it works. You may want to call them and ask. It may or may not help you.
 
Since my son and I both have Crohns (he was recently diagnosed), its good that we can find help with payments.
 
I would call the people at Humira. They will work with you. Although I'm on the $5, I have a friend who is extremely bad off financially and can't afford health insurance. She called Humira, explained her situation and they have been giving it to her for free for 3 years. They really want to work with people.
 
I actually spoke w/humira and was they are the one's who told me I wouldn't qualify for the Opus Health plan ($5 plan) because I have Medicare Part D. It's driving me insane. My doc wants me to give Remicadee another try even though it failed the first which was when I ended up w/my 2nd blockage. So, right now I am just left hanging and flaring at the same time! It just sucks!!
 
So they are hung up on the fact that you have Medicare Part D and that is why they won't help? I don't understand how they can help someone who has no health plan at all, but wouldn't want to work with Medicare Part D. I will never understand what goes through their minds. I'm sorry you are going through this.
 
MCPayne said:
Hi everyone.

To those of you on Humira, do any of you have the Financial Assistance program that is offered through myhumira.com? The reason I ask, I have to switch to an Individual Health Care plan (as opposed to group), because of a merger in my company, and the new company doesn't offer insurance.

Anyway, most options by me only cover generic drugs, and not brand name drugs. For brand names, it was something like 50% co-insurance up to $500 per covered person per year.

If you are on the Humira Financial Assistance program, how does that work? I have to call my GI on Monday and explain the situation, but am thinking I may need to stop Humira.
Click to expand...
I am on the Financial Assistance program, without it I'd be screwed. As my Insurance wont cover me for pre existing and they would only cover a small percentage of Humira. The way it works is you bring in your previous years tax return along with other information to your doctors office ( In my case they had a coordinator in office assist with paperwork). This gets submitted to Abbott and based on your income and financial and insurance situation they evaluate if your eligible or not. I recall being amazed how fast they responded with a answer. If they determine your eligible for assistance is any case that is good for 1 year, then they reevaluate and your reapply. Hope t his helps. Your Dr's office should be able to assist in this case if he/she is in a GI specialist office setting. I say this because Abbott reps come in there frequently.
 
It's HHS policy - I'm looking for my old post on this now, because I finally got the attention of my Senator. He is having this investigated. This also affects Tricare patients.
 

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