surprised (home monitoring)

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realkarl

Radiation survivor
Supporting Member
Joined
Jun 3, 2009
Messages
187
Location
Seattle, WA, US
It seems everyone I talk to around here in Virginia Medical Center, who partly specializes on heart surgery, have rarely or never heard about home monitoring. For instance, the woman (don't remember title), who came to me just to talk about coumadin and montoring, who I asked about it, I think all she knew was that is was pretty expensive. Same with the assistant doctors who stop by. I haven't asked my main surgeon though, who has been fantastic. I hope for something better there, but sadly it probably ends up being my insurance (Group Health) who will deny me, and not Virginia Mason. I will likely end up having to pay for it myself. I have seen the devices, but how much do the monthly strips etc add up to?
 
The monitors retain for $2450. However, I believe QAS and other companies will cut the price for those who don't have insurance covering them.
 
In Canada and what I paid (out of pocket) for the monitor was $499.99, $11.99 for a whole bunch of lancets and $180.34 for 24 test strips for a total price $692.32

No insurance involved - this is what I have to pay when the Mastercard comes.
 
It seems everyone I talk to around here in Virginia Medical Center, who partly specializes on heart surgery, have rarely or never heard about home monitoring. For instance, the woman (don't remember title), who came to me just to talk about coumadin and montoring, who I asked about it, I think all she knew was that is was pretty expensive. Same with the assistant doctors who stop by. I haven't asked my main surgeon though, who has been fantastic. I hope for something better there, but sadly it probably ends up being my insurance (Group Health) who will deny me, and not Virginia Mason. I will likely end up having to pay for it myself. I have seen the devices, but how much do the monthly strips etc add up to?

They are B.S.ing you. They know about it, they just don't want your dollars leaving their labs.
 
to Realcarl....I have just begun to home test (for the second time) and I completed my first test this past Saturday. My first experience, a couple years ago was a disastor. The supplier, Raytel Inc had no idea as to administering a program and Anthem BC/BS was clueless as to how to correctly pay a claim.

I am on Medicare and I believe (and hope) that the newer Medicare guidlines pertaining to self testing will make this experience easier for me.

I am going thru QAS and have been told the following:

1. The monitor is included at no cost.

2. Insurance will pick up 80% of approx $40/test and I will pay 20% ( $8test)
All supplies are include in the $40.

3. My PCP has prescribed bi-weekly testing (at my suggestion)

I hope it works as it was presented to me and you may find that your insurer may cover a substantial portion of your cost since you have a mechanical valve. Good Luck
 
In Canada and what I paid (out of pocket) for the monitor was $499.99, $11.99 for a whole bunch of lancets and $180.34 for 24 test strips for a total price $692.32

No insurance involved - this is what I have to pay when the Mastercard comes.

That sounds pretty fantastic to me Freddie! I wish I could get my test strips from Canada! I just got an order of 24 test strips & my credit card was charged $312 for them! :eek:

Now I turn around & send the invoice to BCBS & await payment from them. I believe they will reimburse me all but 20% which isn't too bad I guess.
 
All you Canadians, with a National Health Care System, eh. I am in the U.S. where like someone mentioned the providers want all the money for themselves, instead of providing the safest and most convenient solution..
 
Home monitoring has been around for many years. I found out about it not long after having AVR. We were traveling a lot. Wife wanted to me to buy one but I was too tight. I didn't realize how handy it would have been.

I'm on Medicare and it pays all cost.
I SURE hope the politicians don't mess up our health care! I don't want a national health care system like our politicians are trying to cram down our throat.
 
Maybe they fear that prevalent home monitoring would shutter all the Coumadin clinics making money for the hospitals or whoever runs them.

This morning another woman (hospital pharmacy rep - Virginia Mason) came to talk about coumadin. I asked her as well, and she had never heard of it. She knew about home glucose monitoring though :p

My coumadin data so far:

Date Dose Taken INR
7/22 5mg 1800 1.3
7/23 1mg 1900 1.6
7/24 3mg 1730 2.0
7/25 3mg 1715 3.0

My target range: 2.0-3.0
They will probably reduce my next dose
 
Maybe they fear that prevalent home monitoring would shutter all the Coumadin clinics making money for the hospitals or whoever runs them.

This morning another woman (hospital pharmacy rep - Virginia Mason) came to talk about coumadin. I asked her as well, and she had never heard of it. She knew about home glucose monitoring though :p

My coumadin data so far:

Date Dose Taken INR
7/22 5mg 1800 1.3
7/23 1mg 1900 1.6
7/24 3mg 1730 2.0
7/25 3mg 1715 3.0

My target range: 2.0-3.0
They will probably reduce my next dose

First, I hesitate to get involved with INR advice because I am only a lay person (although I have been on this stuff a long time), and I don't know all of your facts. If I understand your chart, you are testing every day ? That does not make a lot of sense. The 7/25 test is the result of the coumadin dose 2 to 3 days earlier (7/22)....but maybe your coumadin nurse has her reason for testing that frequently. What were your numbers prior to 7/22. I would stay on the 3mg and test in 4 or 5 days. You refer to her as your "coumadin" nurse. If they are pushing the brand Coumadine, ask them to let you try the generic Warfarin. For the majority of people, warfarin works as well as coumadin, and is a lot less expensive. Hang in, this gets easier over time:D
 
Thanks Bina, I should have looked at his profile:eek:. My advice on the "coumadin vs warfarin" stands. It took me almost 40 years before I could convince my docs to let me try Warfarin....and I have actually been more consistant on Warfarin.
 
I was only tested once a week once I was home. Testing everyday sounds a little extensive. I thought the golden rule was to test every 5 to 7 days?
 

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