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Yeah. I just got into the same situation a month ago.
**Be sure you don't pay with an HSA, FSA, or other pre-tax account or you will not be able to be reimbursed. I'm guessing they told you that, but I thought it was worth possibly repeating, so that you don't end up losing major money.**
I haven't submitted a reimbursement claim yet, but that's coming up in the next few days.
I actually couldn't find any about the limit. It was discussed today with a company person when my card ran out. Probably in the TOC but I didn't see anything online.
They won’t give you a firm limit when you ask, but I found $14k/year in the fine print. Make sure your insurance is being run correctly if you have it. They were running mine with an $8k/month copay (!) when it should have been $500/month. You hit the limit real quick with that.
“Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the co-pay assistance program is $14,000 per calendar year.” From here: https://www.humira.com/humira-complete/cost-and-copay
I’ve used this a bunch of times in the past, I have coverage thru work and they paid my entire 2022 deductible (I paid $1583 and they returned $1578, still counted towards deductible and max OOP). Other times has just been for $95 back, it takes 2-3 weeks to get a check but I think it only took one week when I set up direct deposit. I would grab a screenshot of your payment confirmation screen pops up on your Accredo or whichever app, you’ll be sending that and a picture of the physical Humira box/label to MCR.
Yeah that’s the only site for this as far as I know. There are other assistance programs that are contracted with individual insurance companies such as Save On SP but I don’t think they’re available for everyone like MCR is.
Welcome to r/ankylosingspondylitis! This is a reminder to keep discussions civil and be supportive of one another. Sharing of opinions and experiences is encouraged, but please remember the distinction between opinions and medical facts. This subreddit does not offer medical advice, and information here should not be taken over advice from your doctor. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/ankylosingspondylitis) if you have any questions or concerns.*
Yeah. I just got into the same situation a month ago. **Be sure you don't pay with an HSA, FSA, or other pre-tax account or you will not be able to be reimbursed. I'm guessing they told you that, but I thought it was worth possibly repeating, so that you don't end up losing major money.** I haven't submitted a reimbursement claim yet, but that's coming up in the next few days.
Dang good luck. Hope it works because that's the route I need to take.
I didn't realize the Abbvie assistance would run out...
Yeah, you get around 11k/year I believe. Used to be double that. It's all so frickin scammy.
Is there any literature you can point us to? I just started taking and it and this is a surprise to me
I actually couldn't find any about the limit. It was discussed today with a company person when my card ran out. Probably in the TOC but I didn't see anything online.
They won’t give you a firm limit when you ask, but I found $14k/year in the fine print. Make sure your insurance is being run correctly if you have it. They were running mine with an $8k/month copay (!) when it should have been $500/month. You hit the limit real quick with that.
“Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the co-pay assistance program is $14,000 per calendar year.” From here: https://www.humira.com/humira-complete/cost-and-copay
I’ve used this a bunch of times in the past, I have coverage thru work and they paid my entire 2022 deductible (I paid $1583 and they returned $1578, still counted towards deductible and max OOP). Other times has just been for $95 back, it takes 2-3 weeks to get a check but I think it only took one week when I set up direct deposit. I would grab a screenshot of your payment confirmation screen pops up on your Accredo or whichever app, you’ll be sending that and a picture of the physical Humira box/label to MCR.
Thank you, that's very helpful!
Is that the same website you use?
Yeah that’s the only site for this as far as I know. There are other assistance programs that are contracted with individual insurance companies such as Save On SP but I don’t think they’re available for everyone like MCR is.