Treatment FAQ

what insurance covers hep c treatment

by Mr. Kameron Abbott DDS Published 3 years ago Updated 2 years ago
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Does health insurance cover viral hepatitis treatment?

Apr 28, 2016 · Not all health insurance plans cover all prescribed medications for HCV treatment with few exceptions. Most insurers cover Sovaldi. It …

What does Medicare cover for hepatitis C?

Sep 03, 2021 · Treatment is usually an 8- to 12-week course of an antiviral medication. Although treatment is short-term, it can cost up to $95,000. For this reason, many insurance providers cover treatment only ...

How much does it cost to cure Hepatitis C without insurance?

Nov 22, 2018 · The level of insurance cover for hepatitis C treatments can vary, depending on a person’s insurance policy and overall health. Some insurance companies will pay for people whose hepatitis C has not...

What does the Affordable Care Act cover for hepatitis B?

May 7, 2018 — Hepatitis treatment pits patients against insurance companies and lawmakers against drugmakers. States, which cover a huge number of hepatitis (15) … Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., (16) … 6.

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See a liver specialist

Ask your primary doctor for a referral to a liver specialist, if you aren’t already under the care of one.

Reach out to drug companies

If your insurance provider will not cover your hep C medication, you might qualify for patient assistance programs. This is also an option if you’re uninsured or can’t afford expensive medications.

Consider other assistance

You can contact the American Liver Foundation for a list of financial assistance resources. Or check other websites, such as:

File a lawsuit

If your doctor says hepatitis C treatment is medically necessary yet your insurance continues to deny coverage, you can file a lawsuit against your provider as a last resort.

How much does it cost to cure hepatitis C?

According to the Pharmacy Times, the cost of treatment can be as low as $54,600 for the 12-week course and the entry to the market of new, cheaper drugs is likely to continue to bring the cost of hepatitis C treatments down.

How much does Sovaldi cost?

Sofosbuvir (Sovaldi): This medication costs $1,000 per 400 mg pill. The total cost for a 12-week course is around $84,000, and doctors will typically prescribe it with other medicines, such as simeprevir. Ombitasvir-paritaprevir-ritonavir and dasabuvir (Viekira Pak): The cost for this medication is $83,319 for a 12-week treatment course.

Is hepatitis C treatment successful?

Recent innovations in hepatitis C treatment mean that treatment is usually successful. However, for some people, the costs of these medications can be prohibitive. While prices may decrease in the future, there are currently no guarantees.

Is hepatitis C a direct-acting drug?

In 2014, the United States Food and Drug Administration (FDA) approved drug treatment s called direct-acting antiviral medications that were available in oral form only to treat hepatitis C, according to the journal Open Forum Infectious Diseases . Several medications to treat hepatitis C have met FDA approval since then.

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