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02-22-2007, 09:43 AM
| | Member
I am a: Type 1 | | Join Date: Nov 2006 Location: Phoenix, AZ
Posts: 283
| | | APLUS Medical Supplies-No copay!!!
I was informed by moms on the Childrenwithdiabetes website that medical suppliers do not charge the copays for your prescriptions! I contacted APLUS Medical today and signed up asking them how they could not require the copay amount. I dont really get it, but they said that they just accept the insurance payment as full payment. ??? I should know the answer to this since I have been working medical insurance claims for years, but I dont see how this works? This will save us hundreds of dollars a month between my daughter and I!!! Anyone else us a mail order pharmacy such as this? |
02-22-2007, 09:48 AM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | | Most policies still have a deductable or max out of pocket that still has to be reached every year for durable medical supplies though...
__________________
You may call me Locutus  |
02-22-2007, 09:53 AM
| | Member
I am a: Type 1 | | Join Date: Nov 2006 Location: Phoenix, AZ
Posts: 283
| | | oh, duh. I didnt think of that!! |
02-22-2007, 01:19 PM
| | Junior Member | | Join Date: Jul 2006
Posts: 83
| | | We were referred to them by Emmas parents as well! I just started getting supplies last month. Insulin, pen needles, syringes, lancets. Our insurance would not let them supplie our test strips so I still have to get them through medco. But we are saving over $200 per year in prescription copays. So far so good!
Becky,Mom to Mason, 6 |
02-22-2007, 01:25 PM
| | Senior Member | | Join Date: Sep 2004
Posts: 5,595
| | | What's the url?
I could use a new pump supplier. |
02-22-2007, 01:54 PM
| | Member
I am a: Type 1 | | Join Date: Nov 2006 Location: Phoenix, AZ
Posts: 283
| | A Plus Medical Supply--Home I dont know if that worked..... |
02-22-2007, 03:45 PM
|  | Senior Member | | Join Date: Jun 2005 Location: Vermont, 50 miles from nowhere
Posts: 2,320
| | Quote:
Originally Posted by kel4han  | It worked, thank you.
__________________
Val
Take care of your body. Where else are you going to live? |
02-22-2007, 04:01 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,291
| | | I think the way it works is they just raise their prices on prescriptions they charge the insurance company. So say the insulin costs them $60 a vial. They charge the national retail of $90. Then your insurance has an agreement with them to pay $70, well, the company just says they can't do less than $75 and they write the copay off.
Animas has been writing my insurance copay of 20% off since I've been on my current insurance. That's been about $900 I haven't had to pay out of pocket.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-22-2007, 04:08 PM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | | What do you get from Animas? Do you know if you can you get reservoirs, Insets and IV Prep?
__________________
You may call me Locutus |
02-22-2007, 04:13 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,291
| | Quote:
Originally Posted by Cyborg What do you get from Animas? Do you know if you can you get reservoirs, Insets and IV Prep? | I get everything with them. Cartridges, infusion sets, IV prep, batteries, etc. and have never been sent a bill. And when I called once because I had recieved a bill and questioned why I did that one time, they said it was a mistake (first bill after the J&J merger/acquisition) and they fixed it and said not to worry.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-22-2007, 04:17 PM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | Quote:
Originally Posted by JediSkipdogg I get everything with them. Cartridges, infusion sets, IV prep, batteries, etc. and have never been sent a bill. And when I called once because I had recieved a bill and questioned why I did that one time, they said it was a mistake (first bill after the J&J merger/acquisition) and they fixed it and said not to worry. | How about at the beginning of the year?
__________________
You may call me Locutus |
02-22-2007, 04:41 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,291
| | Quote:
Originally Posted by Cyborg How about at the beginning of the year? | Never, and this is my second year with this insurance and I just placed an order no problem.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-22-2007, 04:46 PM
| | Senior Member | | Join Date: Jun 2005 Location: Vermont, 50 miles from nowhere
Posts: 2,320
| | | My pump supplies are covered under my prescription coverage and the Insurance company waives the copay.
__________________
Val
Take care of your body. Where else are you going to live? |
02-22-2007, 05:02 PM
| | Senior Member | | Join Date: Sep 2004
Posts: 5,595
| | | Does Animas do that for everyone? |
02-22-2007, 05:05 PM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | Verrry Interrresting... 
__________________
You may call me Locutus |
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