Wednesday, January 23, 2013

Insurance update

So just how important is insurance anyway? Well, the 4 new meds Caelen needs break down like this:
TPA: $25,000 month
Dornase: $4,000 month
Hypertonic Saline: $3,000 month
Bosentan: $34,000 month
percussion vest : $18,000 purchase

Hopefully, once Caelen gets past this bout of plastic bronchitis he won't need the 3 nebulizer meds on a daily basis. But the bosentan will stay. By the way, he'll only be getting a half dose. The full dose would have been $67,000 per month! This is on top of the 15 other meds that Caelen takes on a daily basis. How ridiculous is that? I have a hard time believing that medicines actually cost this much. The drug companies must have huge markups, or they're charging for research. Either way, holy cow his meds are expensive.

Now you see why we need prior authorization to get these meds and go home. So we are hoping to get final sign off tomorrow and perhaps home on Friday. I'll know more tomorrow afternoon once the insurance company reviews the paperwork again, and the pharmacy gets a guarantee of payment. They don't want to be on the hook, can't say I blame them.

Until then, we're dodging germs and paying we stay healthy.

Love,
Katye

PS, thanks for letting me vent yesterday and all of the nice messages :)

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