It's always something!!!

Tuesday night I received a phone call from the specialty pharmacy billing department. They called to question my cost of the next shipment of Votrient, which would be $6059.18. My calendar year benefits were just renewed in March so I thought maybe it had not gone through yet. My plan is 10/40/60 so for the last two months I've only had to pay $60 for each refill of Votrient. We put the drug on hold until I could see what was going on with the insurance because if they send it I'm responsible for the full price on the bill. After I got off the phone I looked up my benefits on line and saw this:

Specialty Pharmacy Drugs: Your co-payment is 100% of the medications total cost.

I guess this applies to tier 4 drugs, since Votrient is on that list. It would have been nice to know this information. We were told the insurance would be the same as what we had. Apparently it's not! I guess the plan should have read 10/40/60/We're not paying for that one. To make matters worse I have a $100 deductible and they added that onto the cost. Excuse me! How about adding that to something you'll actually cover. I did send an email to HR asking if they recalled any information about this change in our prescription plan.

Anyhow, I went on line and downloaded the GSK co-pay help form and faxed it along with my 2010 tax return yesterday. I should hear something today about what kind of help we can receive.

It's always something!