Hello, October

Good news: Cimzia was delivered, which means that it is covered under my new insurance plan! This makes me love my job even more. If you know me, you probably know I'm a nerd for numbers.

Before I only ever knew the estimated cost of Cimzia. Well, here are some numbers from my latest Cimzia order. The cost of Cimzia is $3,159.68 for each month's supply. I'm responsible for 10% of that: $315.97, my co-pay. After subtracting my co-pay, the insurance company has to cover $2,843.71 of the medication. Thankfully, I have a Cimzia co-pay assistance card that covers my co-pay, $315.97, for me so that I get Cimzia for free.

Once I do my October injections that will finish my third year of taking Cimzia. Over those 36 months, I'll have injected myself 72 times. Most of the time I find it easy, but sometimes my head over thinks it and the injections freak me out. Occasionally, they hurt, bleed, or bruise.  I have done all of the injections in my stomach. I could do them in my legs, but for some reason I can't bring myself to do it in my legs. Plus, I figure since it's my belly giving me the trouble it can endure to be the pincushion. Anyways, over those 36 months, insurance has saved me $102,373.56 and the Cimzia co-pay card has saved me $11,374.92 for a total savings of $113,748.48!   If it wasn't for insurance or the co-pay card, I would either be really broke or really sick! Bring on year number 4!

If that's not great enough, get a load of this...

With my new insurance plan, the co-pay for Cimzia that the co-pay card covers actually counts toward my out of pocket maximum even though that money isn't coming out of my pocket. $315.97 * 12 months = $3,791.64 towards my out of pocket maximum.


I finally got my 'Stang back. I love the leather and the stitching! This car really feels too nice to belong to me.

Goodbye, September

I don't know what procrastination says about a person, but I do know I am an expert at procrastinating. If I had the energy, I would probably be stressed. I'm not stressed, just irriated that people can't do their jobs right. I have no trouble sleeping and I don't feel worried. Perhaps I'm depressed...

After leaving five messages with my nurse over a 9 day period to get a prior authorization for Cimzia, she still hadn't returned my calls or submitted the prior authorization like I requested. So, I sent my mom to the gastro office to get some answers. I sent my mom with a copy of my ID, new insurance card, and a patient disclosure form authorizing her to access my medical records. It turns out the nurse didn't call back because she didn't think the prior authorization was necessary since she gave a prior authorization for me last year. Can you believe that shit? My mom told her that she should have at least called me back to let me know she didn't feel like doing her job. Thankfully, my mom got the nurse to transfer the prior authorization from last year to my new insurance. I don't understand why the nurse couldn't just give a new prior authorization because that would last longer.

The pharmacy finally let me schedule delivery for my Cimzia, and said that insurance approved the prior authorization. Although during my first attempt today to schedule delivery, the pharmacy said that the prior authorization had been cancelled. Nobody seems to know what they're doing. I guess if Cimzia arrives when I scheduled the delivery, none of it matters.

In other news, while my car was getting leather installed they broke a bolt when they were putting the driver's seat back into the car. Now, they have to keep it in service to fix it. At least they gave me a free rental car. Plus, the leather looks and smells amazing, so it'll be worth it.