COPD Foundation Blog

Find inspirational stories, tips from the COPD Coach, events, and current news on the COPD community blog. Have a question regarding COPD that you would like to share with our community? Contact our COPD Coach. Coaches Corner is aimed at providing information for individuals with COPD to take to your doctor, and is not in any way intended to be medical advice. If you would like to submit a question to the Coaches Corner email us at coachescorner@copdfoundation.org. We would love to hear your questions and comments.

Want to connect? Join our community today.

Accessing Treatments in 2016 - What You Should Know

1 Comments   |   
Like 7 Likes

This blog entry was written by Jamie Sullivan, Sr. Director of Public Policy and Advocacy at the COPD Foundation

The new year can often mean new policies on medications that are covered for COPD patients, even when you are not switching insurance plans. As we approach January 1, the COPD Foundation wants to make sure you are prepared for any potential changes to what are referred to as formularies, the lists of drugs covered by your insurance company, and the cost you have to pay each month for those drugs. High copays, the set amount you pay at the pharmacy for each prescription you fill, have always been an issue that patients struggle to keep up with. In the past, a new year would often mean higher copays for patients. Unfortunately in the last few years, some large insurance companies have excluded certain drugs from the formulary altogether. A few patients in our community have experienced this switch, so we suggest everyone take adequate measures to prepare. It is unlikely you will be affected, but it is important to plan just in case.

Here is what you can do today:

Drug Access

  • Call, email, or go online and ask your insurance company if there have been any major changes to the 2016 formulary. You can specifically tell them your medication and ask whether it will continue to be covered in 2016. Ask if there are any changes in your co-pays so you can budget accordingly.
  • If you are told that your medication will no longer be covered in 2016, ask whether they have an appeals process and send this information directly to your physician for help.
  • Tell us about your experience. Your insurance company is not your doctor and there should be no reason for what we call "non-medical switching", i.e. you and your doctor determine the best treatment, but the insurance company switches you for no medical reason at all. Fill out a quick survey and learn more about the issues today.

We will stay on top of all of the treatment access issues and continue to work to collect the information necessary to fight these harmful practices throughout 2016.

1 Comments



You need to login to comment.
  • I have been looking in to COPD and something to help with the symptoms, I was reading and found that Nac helps. looking farther in to NAC, ifond that the best quality of NAc I could find was Pharmanac from Bioadvantex. http://bit.ly/1nNv85Z this is the the study I read you could get check out the product at bioadvantex.com.
    Reply

Join Us on COPD360social

Sign In to Participate
Or register to become a member

COPD360social Blog Named Best COPD Blog of 2016 by HealthLine

6.3COPD