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Healthcare In Us That Covers Suboxone?
Posted: March 18, 2014, 11:54 PM


Posts: 5945
Joined: April 17, 2005



Does anyone know of a Healthcare plan in the US that covers at least some of the cost of suboxone? My son can't afford Healthcare insurance because he's paying so much for the sub!

Thanks!
Susan



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"The only thing necessary for the triumph of evil is for good men to do nothing." - Edmund Burke (attributed)

"If you think you are too small to make a difference, you have never been in bed with a mosquito." Anita Roddick
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Posted: March 25, 2014, 6:55 PM


Posts: 801
Joined: August 29, 2011



Susan,
sorry it took me so long to get back to you,

I have Anthem Blue Cross and they now will treat addiction and now they even cover methadone maintenance. It is covered under their Mental Health and Substance Abuse (chemical dependency) Services. You will need to check further into how that works but it may be something that can help.

Good luck!

granny

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I NEVER KNEW HOW MUCH LOVE MY HEART COULD HOLD UNTIL SOMEONE CALLED ME GRANDMA.


STOP AND LISTEN TO THE BIRDS SINGING IN THE TREES. WHEN THE BIRDS ARE SINGING EVERYTHING IN LIFE IS OK.
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Posted: March 28, 2014, 10:40 PM


Posts: 5945
Joined: April 17, 2005



Thanks so much for the reply, Granny! Here's what I found...


Posts: 5939
Joined: April 17, 2005



On Healthcare.gov I found a policy that will cost my son about $225/month. (I wasn't able to get an actual quote for a smoker because they don't post that on the site). There is no deductible to be met for prescriptions, and the co-pay is just $45/month for a month supply. It is through Highmark and the plan is called Flex Blue PPO 1000 Community Blue Plan. With what he was paying for suboxone and his doctor visit per month, he will be paying about the same amount and getting health coverage. This is GREAT because he has been letting some of his health issues go because of money.

Another GREAT thing about it is they can't refuse you for pre-existing!!!!

I hope this helps others in the same predictament. Please verify the information before you take out a plan, but this is what I was told on live chat with Highmark.





--------------------
"The only thing necessary for the triumph of evil is for good men to do nothing." - Edmund Burke (attributed)

"If you think you are too small to make a difference, you have never been in bed with a mosquito." Anita Roddick
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Posted: March 29, 2014, 8:49 PM


Posts: 801
Joined: August 29, 2011



Hey Susan,
I am glad you were able to find something that helps your son, and it sounds like he'll have a lot more than he asked for! Very cool.

My insurance ,just for ME is like $650. but I did not tell my insurance about my addiction because I knew they would charge me up the ying yang. BIG MISTAKE, but I cant change it now. Too bad because they would totally pay for my MMT.
I was told by numerous people to tell them when I applied (April 2012) and I didn't.
To make a long story short make sure when ANYONE applies for insurance be honest about any meds you are on too. Back when I applied none of the companies dealt with addiction related issues so it is great to see it now.


--------------------
I NEVER KNEW HOW MUCH LOVE MY HEART COULD HOLD UNTIL SOMEONE CALLED ME GRANDMA.


STOP AND LISTEN TO THE BIRDS SINGING IN THE TREES. WHEN THE BIRDS ARE SINGING EVERYTHING IN LIFE IS OK.
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Posted: March 30, 2014, 2:34 PM


Posts: 5945
Joined: April 17, 2005



The ONE good thing that came from National Healthcare is that they can't refuse to cover you due to a pre-existing condition and they can't charge you an arm and a leg because of it either. They do, however, ask if you smoke, which he does, and it only increased his from $225/mo to $229.63/mo. There were cheaper ones, but the deductible was higher and he doesn't have the reserves to get him to the deductible, so we were very pleased to get this one! It only has $1,000 deductible (the lowest available). He will probably be putting out a tiny bit less than he was with paying for his doctor and suboxone (and his pharmacist was giving him the BEST POSSIBLE price because he likes my son and wanted to help him), and he has gained having security of knowing that if he has to go to the hospital (God forbid) that he won't be charged $4,000! His suboxone will cost him $45/month and his doctor will now cody him $25 instead of $60! We're VERY pleased! :)

--------------------
"The only thing necessary for the triumph of evil is for good men to do nothing." - Edmund Burke (attributed)

"If you think you are too small to make a difference, you have never been in bed with a mosquito." Anita Roddick
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Posted: March 30, 2014, 2:39 PM


Posts: 5945
Joined: April 17, 2005



P.S. The website is Healthcare.gov and you can check out the plans there very easily

Because of the March 31st deadline, both the website and phones are OVERLOADED!!!! I finally got through on the phone and the girl who assisted me was VERY PLEASANT and VERY HELPFUL (Ebony Jones). She told me that at time I called, there were 6,000 calls on hold!!!! I had to hold for over 30 minutes to get through. it couldn't hurt to see if you qualify if it could save you some money. There is assistance/reduced payments for people who qualify financially.

--------------------
"The only thing necessary for the triumph of evil is for good men to do nothing." - Edmund Burke (attributed)

"If you think you are too small to make a difference, you have never been in bed with a mosquito." Anita Roddick
  Top
Posted: March 30, 2014, 3:03 PM


Posts: 6662
Joined: September 15, 2005



Susan? Forget my Politics aside. Please make sure YOU read the entire policy AND is it in your name or your son? The government will tell you anything you want to hear but reality is unless you meet certain requirements the cost is ?? Whatever eases the stress of not having Insurance is key--Also Medicaid medicare advantage and medicare are three different animals--Susan if you did sign for affordable care or any insurance GET PROOF that you paid for it COPY OF YIOUR CHECK--and your networks of doctors and network/Preffered for medications--Its confusing but we have to do whatever is in front of us TODAY--it will get better --

Hope things are cool--Jeff

PS--There is no deadline anymore Susan----Thats the 38th change of OBAMACARE--LOL--

This post has been edited by Suboxman on March 30, 2014, 3:04 PM

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It is Just Not worth it.

"Inside every older person is a younger person
wondering what the puck happened."

One Day At A Time
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Posted: March 30, 2014, 11:19 PM


Posts: 801
Joined: August 29, 2011



hey susan,
My insurance is so expensive because of my age I'd guess...I will be 61 in June. I had anthem since 2012, started at 640 and it went up and down like 4 times now I'm back at $600.+
Good for your son to get such a great price!!!

--------------------
I NEVER KNEW HOW MUCH LOVE MY HEART COULD HOLD UNTIL SOMEONE CALLED ME GRANDMA.


STOP AND LISTEN TO THE BIRDS SINGING IN THE TREES. WHEN THE BIRDS ARE SINGING EVERYTHING IN LIFE IS OK.
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Nancy
Posted: September 10, 2014, 10:50 PM







try Humana, but you have to have prior authorization every month!
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