Remicade denial

I'm curious about remicade too. I doubt that my insurance (United) will cover it, but I have a feeling I will need it someday. How much does an infusion cost?

The first time I was on Remicade, I got the three induction infusions, then got a letter from the insurance company denying payment. A nice match to the letter I had pre-authorizing the treatment. Mind, this was before Remi was FDA approved for UC. My policy specifically states it doesn't cover non-FDA approved drugs. Because I had the pre-auth, I was finally (after an incredible number of phone calls, crying, pleading, threatening, talking to six different offices in one day) able to coerce them into covering the treatments I'd already had. I had to discontinue the Remi, though, because they weren't about to pay for any more. Fortunately for me, the three treatments relieved my symptoms for about a year. When Remi was approved for UC, I went back on and was lucky enough not to have developed an allergic reaction.

My insurance is United also, but what matters is not the company but your specific policy and what it covers. Look carefully at that, then at the reason they gave for denying coverage. If the first appeal is denied, keep pushing them - be pleasant but assertive.

Good luck to you.

you need to ask about the rebate program remistart.  they reimurse you up to a year.