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Tracy K
Multiple Myeloma Discussion • April 16, 2024
Navigating Copay Accumulators - Any Advice?
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Hello All, After my first relapse I was put on Dara/Pomalyst/dex for the last 3 years. Since my Copay was $7,500/cycle, I used the Bristol Myer Squibbs Mckessen Copay Assistance program that credited me $15k/year and covered my OOP max in the first month. As of this year, my commercial insurance snuck in a sentence about the new "Out of pocket protection plan" (Officially called a Copay Accumulator) into the 100+ page benefit package. Basically, I am no longer able to put the credit from BMS's Mckessen Copay Assistance toward my OOP max. WHY WOULD I CONTINUE TO USE COPAY ASSISTANCE THEN??? I was very surprised to hear that I owed $5137.23 (what was left to pay towards my OOP max) before I could get my meds. So, my insurance company benefits from the $15k that I applied for and I don't. After a supreme court ruling 9/2023, it looks like Copay Accumulators are now illegal to use for medicare (see articles) if you do not have a generic alternative and also in some states. https://natlawreview.com/article/court-strikes-down-hhs-rule-copay-accumulators-implications-health-plans-and-pbms https://ipghealth.com/news/update-to-copay-accumulator-programs-recent-court-decision-encounters-setback-with-appeal I think this is unethical and should be banned from all states. The only option I've been given by my insurance is to complain via a grievance form. Any suggestions from the group? I am reaching out to my representative and also the insurance commissioner of my state (WI). Thank you!
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Marga
Multiple Myeloma Discussion • April 16, 2024
Outpatient SCT Prep: Tips & Experiences?
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Hi everyone, My husband is getting ready for SCT this summer. He was given the option of not stay at the hospital for the 4 - 6 weeks. Rather, he'll be going each day to the hospital for labs, etc and return home every day. He'll only remain at the hospital if any complications arise. Are there any others that have done SCT this way? Also, if you could share how you got your home ready, and any other preparations that were helpful, that would be much appreciated. Thanks!
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DIahanna • Admin
Multiple Myeloma Discussion • April 15, 2024
Financial Assistance Update: Programs Open
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Hello Everyone, Update on Financial Assistance Programs. HealthWell is open for Medicare Access -it still semms to be 12K Patient Advocate Foundation (copay assist) is open for Multiple Myeloma
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MariaM
Multiple Myeloma Discussion • April 14, 2024
Kyprolis & Pomalyst: What Was Your Experience?
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I was diagnosed with IGA Kappa January 2023. I had my ASCT in October 2023 & have relapsed 6 months later. I have high risk features. I started maintenance therapy Feb 2024- Darzalex & Revlimid but my IGA fell in above normal range last week and Monoclonal protein showed up as well. I will be starting 2 x week Kyprolis & Pomalyst (daily) for 3 weeks on/ 1 week off. If anyone would share their experience with this regimen it is most appreciated 🙏
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Msginas63
Multiple Myeloma Discussion • April 12, 2024
FISH Results Improved Without Treatment?
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Hello! I’m currently smoldering since December 2022. My initial fish test showed abnormal with 1q gain, four copies and 9p24(jac2) gain, 3 copies. I just had a new bmb in March, the fish results indicated everything was normal. Does anyone know if it is normal to go from abnormal to normal without having any treatments? Have anyone experienced this?
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JohnK
Multiple Myeloma Discussion • April 12, 2024
Sharing My Journey: BMT in India, Home in Kenya
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I am a multiple myeloma patient from Kenya in East Africa. I was diagnosed with MM on June 2022 after many years of health problems and intractable epistaxis from 2020. Due to lack of facilities in my country I decided to go for BMT in India in late 2022. I had a successful transplant on March 2023, I am back to my country and I am currently on Lenalidomide during this post-transplant management period. I have been responding well apart from very low white blood counts which are regular but I normally get Neutas immunotherapy booster from time time.