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Regarding Xeljanz insurance coverage.

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Ulcerative Colitis
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Posted 5/31/2019 6:20 PM (GMT 0)
Hello all,

Can someone suggest me an insurance which covers Xeljanz medication?
Also I would be moving to new places for job, so the insurance should be flexible enough to deliver the medication to my address wherever I relocate.

Thanks,
Posted 5/31/2019 6:32 PM (GMT 0)
Insurance is complex, and varies a lot based on where you live or where you work. If you move around a lot, then try for a nation-wide insurance policy (generally more expensive than a local plan). Many insurances cover only local facilities within the same USA state in which you live, consider that in-network (traveling would incur more expensive out-of-network pricing). Nation-wide plans enable you to use a hospital or doctors office anywhere within the USA, and sometimes a few international countries if you are abroad.

Nearly all cover xeljanz, with pre-approval. Often xeljanz is not a first biologic, others have to be tried and failed first. For example, fail remicade 1st. It varies.
Posted 5/31/2019 8:35 PM (GMT 0)
PPO and EPO plans are more flexible and cover more doctors and medications. They are more expensive.

HMO plans are a PITA and some cover more than others. It’s a managed plan and they usually require authorizations and hoops to jump through. There is a cost savings with an HMO.
Posted 5/31/2019 9:02 PM (GMT 0)
Thanks both of you
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