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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Does Anyone Have ObamaCare With RA?

A myRAteam Member asked a question 💭
Grand Rapids, MI

Does it pay the bills?

March 1, 2018
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A myRAteam Member

Medicare will pay for most biologics, you should have a secondary insurance or it will still be fairly expensive. It depends on both your state and your doctor. Here at least, you do not want one of the insurances that cover you instead of Medicare. They sound good, but most cover biologics in a different way than Medicare. It will make them very expensive. I have found the billing people at the rheumatologist's office are the ones that can tell you the best coverage for you. If you choose the wrong insurance you can not change it until the next "open season", which is only once a year.

March 10, 2018
A myRAteam Member

Yes I do and I have wonderful Dr's here in Wilmington, NC. My co-pays are $40 and my meds are range from $0-$30.

March 8, 2018
A myRAteam Member

Yes, it does.. but the copays can be high. If you are on a limited income, you may qualify for a copay subsidy plan through some of the insurance offered on Obamacare. I know Care First has that system in place.
And if you're on a biologic, ask your rheumy if the prescription provider will help with paying for your medicine. I wouldn't be able to afford a biologic if I had to pay the full copay. (My copay is only $5 for a 3 month supply.. for example).. Hope you find what you need soon!

March 14, 2018
A myRAteam Member

I have Cigna insurance through Obamacare. My husband was in the hospital for a week in October. After he was released,he had to have more tests & follow up appointments. I only had to pay a small portion. I'm happy with it. Not all doctors take it but there's a list on the website of those who do.

March 10, 2018
A myRAteam Member

Yes Jimmy my embrel is covered by my Medicaid and Medicare

March 7, 2018

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