For my husband, David, and me, having to deal with our medical insurance company can sometimes be scary, which is funny, because I am employed in the insurance industry. But when my husband’s treating HAE physician first made us aware of FIRAZYR® (icatibant injection), a medicine approved to treat acute hereditary angioedema (HAE) attacks in adults 18 years of age and older, we immediately worried about the cost and whether or not our insurance company would agree to cover the medication. We wanted to have the on-demand therapy of FIRAZYR at home for David to administer at the onset of an HAE attack, but we were afraid to get our hopes up.
Very shortly after being prescribed FIRAZYR, we received a phone call from a Case Manager at OnePath®. The Case Manager asked about our medical insurance information and then contacted our insurance company to determine if they would cover the treatment. When he called us back to say that David was eligible to receive FIRAZYR, while that was good to hear, we expressed concern about the cost of the co-pay our insurance requires. Our Case Manager explained that we might be eligible for OnePath’s co-payment assistance program, and I am happy to report that we were, indeed, eligible for the co-pay assistance, which has really helped us. Upon David’s physician’s request, OnePath also arranged for a home healthcare nurse to come to our house to teach David how to self-administer FIRAZYR.
While our OnePath Case Manager helps us in many ways, my husband and I make sure to do our part. We have kept a diary of my husband’s HAE attacks and FIRAZYR injections—just in case we need to document to the insurance company that my husband truly needs FIRAZYR.
In this ever-changing medical insurance environment, which can be overwhelming for me, I feel it is very important for us to stay ahead of the game, and working with OnePath really helped make David’s transition to FIRAZYR go smoothly. It feels great that we have the opportunity to work with our Case Manager, who always seems willing to help.
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