|
|
|
|
|
Forum
-> Children's Health
amother
Lightblue
|
Wed, Dec 06 2023, 8:24 pm
anon23 wrote: | A deductible is still not negotiable. There's no cheap alternative. I'm kinda just asking how everyone does it - checking to see if there's something I'm missing! |
It’s something people work into their annual budget if that’s the only option available. Or they look for jobs with better insurance but insurance and medical care in the US is expensive unfortunately. A lower deductible just means a higher premium in many cases.
| |
|
Back to top |
0
0
|
amother
Nemesia
|
Wed, Dec 06 2023, 11:21 pm
So we had to pay for all the testing (X ray, blood test, stim test, brain mri) - deductibles, copays etc.
But once insurance approved we got on a copay assistance program for free because it is private commercial insurance (not medicaid or government plan). So the medication is free. It was a certain total dollar amount per year towards copays that the pharmacy billed the company for.
But now the meds are out of stock!! I need chizuk to get this covered. I am fighting the insurance company to approve a different medication but they denied because my kid hasn't "failed" the other approved meds. He hasn't failed because it is OUT OF STOCK. Unavailable from the manufacturer. Doctors office is so slow and not taking care of this. I shouldnt have to call pharmacies, insurance, the doctors office all multiple times. I need chizzuk. 😫
| |
|
Back to top |
0
1
|
amother
Plum
|
Wed, Dec 06 2023, 11:22 pm
amother Nemesia wrote: | So we had to pay for all the testing (X ray, blood test, stim test, brain mri) - deductibles, copays etc.
But once insurance approved we got on a copay assistance program for free because it is private commercial insurance (not medicaid or government plan). So the medication is free. It was a certain total dollar amount per year towards copays that the pharmacy billed the company for.
But now the meds are out of stock!! I need chizuk to get this covered. I am fighting the insurance company to approve a different medication but they denied because my kid hasn't "failed" the other approved meds. He hasn't failed because it is OUT OF STOCK. Unavailable from the manufacturer. Doctors office is so slow and not taking care of this. I shouldnt have to call pharmacies, insurance, the doctors office all multiple times. I need chizzuk. 😫 |
We just got approved for the expensive one. That's hard that they are giving you a hard time maybe they can fight for it being out of stock as a valid reason.
| |
|
Back to top |
0
0
|
amother
Wandflower
|
Wed, Dec 06 2023, 11:55 pm
My insurance company denied coverage for ideopathic short stature (went through all levels of appeal). We are paying out of pocket. BH we are in a position to be able to make the choice to do this. It runs us about $800 a month but cost would depend on the dosage and medication you are prescribed.
| |
|
Back to top |
0
0
|
amother
Turquoise
|
Thu, Dec 07 2023, 12:19 am
amother Wandflower wrote: | My insurance company denied coverage for ideopathic short stature (went through all levels of appeal). We are paying out of pocket. BH we are in a position to be able to make the choice to do this. It runs us about $800 a month but cost would depend on the dosage and medication you are prescribed. |
Just $800? Wow
| |
|
Back to top |
0
0
|
amother
Jade
|
Thu, Dec 07 2023, 1:20 am
My child is on the Skytrofa- once a week hormone. It’s been three month. So far no major progress.
| |
|
Back to top |
0
0
|
amother
Nemesia
|
Thu, Dec 07 2023, 2:27 am
amother Plum wrote: | We just got approved for the expensive one. That's hard that they are giving you a hard time maybe they can fight for it being out of stock as a valid reason. |
Which are more expensive?
What's worse is that the pediatric endocrinologist is super slow it seems. The office is not very on top of things. I have no idea the rationale they used, I just got a copy of the denial.
| |
|
Back to top |
0
0
|
amother
Dodgerblue
|
Thu, Dec 07 2023, 7:04 am
My son is on GH for a few years. We had to switch brands a couple of months ago due to shortages. When we first started, insurance would not approve it. The dr kept resending the authorization but they refused. We switch insurance companies the next year and haven’t had a problem since. We have an expensive insurance plan that just has a copay for medication so we pay $40 a month. The lower insurance plans had a coinsurance for meds which would come out very high.
| |
|
Back to top |
0
0
|
amother
Alyssum
|
Thu, Dec 07 2023, 7:16 am
Ds is on skytrofa
No shortage. No refrigeration. Once a week injection. No side effects other than growing pains.
Bh endo is happy with his progress. He’s slowly inching up towards the growth curve as he was below it all this time.
Medicaid and no cost to us at all.
| |
|
Back to top |
0
0
|
amother
Wandflower
|
Thu, Dec 07 2023, 7:50 am
I believe the cost has to do with the pharmacy that the drug company uses to handle the private pay accounts. It’s not a negotiated price with the insurance company.
| |
|
Back to top |
0
0
|
mandr
|
Tue, Dec 12 2023, 12:17 am
My son just started Omnitrope. Norditropin wasn't in stock and won't be until January 2024 (they think). I pay $0 with Child Health Plus (with Fidelis). Dr told us to switch from UHC to Fidelis since they handle these things really well. BH it took about 2 weeks to get everything approved and delivered. My son has idiopathic short stature (not deficient in GH) and was approved because he's less than -3 SD.
| |
|
Back to top |
0
0
|
amother
Chambray
|
Tue, Dec 12 2023, 12:20 am
amother Amethyst wrote: | When I was young I was taken to the doctor with this issue, now I’m 163 cm and so so happy my parents did not give me growth hormones in the end, otherwise I would feel too short for my husband (around 5”7) and MIL as well as for clothes.
I would wait for your results. If it’s really not severe I wouldn’t worry about it. |
True, I always wanted to be tall, but am happy short. It’s good for a women, but would be bad for a man.
| |
|
Back to top |
0
0
|
amother
Brown
|
Tue, Dec 12 2023, 12:33 am
amother Kiwi wrote: | My son took it for several years. It was highly effective and he had no side effects. He grew over a foot on it and ended up close to 6 feet. |
What is the name for this medication. My nephew has been taking growth hormone shots for almost two years and he can still grow at least a foot or two.
| |
|
Back to top |
0
0
|
amother
Candycane
|
Tue, Dec 12 2023, 12:58 am
Does anyone have experience with growth hormone when there is a genetic syndrome causing short stature? Effectiveness? Appropriateness? Insurance coverage?
| |
|
Back to top |
0
0
|
mandr
|
Tue, Dec 12 2023, 1:08 am
amother Candycane wrote: | Does anyone have experience with growth hormone when there is a genetic syndrome causing short stature? Effectiveness? Appropriateness? Insurance coverage? |
Really depends on the condition. If it’s PAPPA2 deficiency for example then gh won’t do a thing.
| |
|
Back to top |
0
0
|
sweetdimples
|
Tue, Dec 12 2023, 1:27 am
Any possibly concerning side effects?
Last edited by sweetdimples on Tue, Dec 12 2023, 11:19 am; edited 1 time in total
| |
|
Back to top |
0
0
|
amother
Acacia
|
Tue, Dec 12 2023, 10:42 am
Can anyone advise me at what age do you follow up with the endocrinologist? My son is barely growing if at all, below 0 on the chart, but the pediatrician is not sending me to an endocrinologist. I don't want to miss the window if he needs the growth hormones.....thanks
| |
|
Back to top |
0
0
|
mandr
|
Tue, Dec 12 2023, 11:40 am
amother Acacia wrote: | Can anyone advise me at what age do you follow up with the endocrinologist? My son is barely growing if at all, below 0 on the chart, but the pediatrician is not sending me to an endocrinologist. I don't want to miss the window if he needs the growth hormones.....thanks |
Follow up with endo or to go to an endo? I went when my baby was almost 1. She said come back in a year. Same situation. He was always below 0 since day 1 and never got higher. My dr never sent me to an endo but I wanted to be proactive and glad we did BH.
| |
|
Back to top |
0
0
|
amother
Firethorn
|
Mon, Jan 22 2024, 10:01 pm
Anyone still having shortage issues? We were on nutropin, it went out of stock, switched to sogroya (once a week) which I was super happy about it now it went out of stock. Not sure what to do?? Insurance orig denied skytrofa I have uhc child health plus….
I get thru Optum are there any other pharmacies?
| |
|
Back to top |
0
0
|
amother
Nemesia
|
Mon, Jan 22 2024, 10:47 pm
amother Firethorn wrote: | Anyone still having shortage issues? We were on nutropin, it went out of stock, switched to sogroya (once a week) which I was super happy about it now it went out of stock. Not sure what to do?? Insurance orig denied skytrofa I have uhc child health plus….
I get thru Optum are there any other pharmacies? |
Yep. We switched meds to something available. What is out depends on dosages- randomly other amounts were available but not type my kid needed.
| |
|
Back to top |
0
0
|
Related Topics |
Replies |
Last Post |
|
|
Growth in females
|
4 |
Mon, May 13 2024, 2:45 pm |
|
|
Does insurance cover growth hormone shots?
|
27 |
Fri, May 03 2024, 9:50 am |
|
|
Growth Horomone
|
1 |
Thu, Mar 07 2024, 11:52 am |
|
|
Growth hormone shots
|
22 |
Fri, Feb 02 2024, 2:43 am |
|
|
MRI for growth hormone test
|
2 |
Thu, Dec 14 2023, 1:39 pm |
|
|
Imamother may earn commission when you use our links to make a purchase.
© 2024 Imamother.com - All rights reserved
| |
|
|
|
|
|