All of us Vs Keratoconus


Members Login
Chatbox
Please log in to join the chat!
Post Info TOPIC: When will insurance cover collagen cross-linking in the US ?


Member

Status: Offline
Posts: 3
Date: Sat Feb 1 4:34 AM, 2014
When will insurance cover collagen cross-linking in the US ?
Permalink   
 


Hello everyone, I will keep this short and sweet.  I was diagnosed in 2010, ended up getting intacts in 2011.  At the time I could not find someone near me (Denver CO) that did crosslinking and I wanted to wait a little bit to do some research.  It seems to have stabilized but my corrected vision in my right eye is acceptable but left eye leaves a lot to be desired.  I have read this site extensively and am afraid to try rigged or semi rigged contacts that would possibly improve my vision.  

 

I have recently read that cross-linking has been given orphan drug status by the FDA, can anyone shed some light on how long until insurance will cover the procedure?   I can now get it locally but costs are 2500+ an eye.  I am wondering if I should wait or get the crosslinking done now and pay up. 



-- Edited by MRT30 on Saturday 1st of February 2014 04:36:03 AM



__________________


Member

Status: Offline
Posts: 3
Date: Sat Feb 1 5:18 AM, 2014
Permalink   
 

Actually I think I might have answered my own question,

"(FDA) stating that their NDA for riboflavin ophthalmic solution/KXL system has been filed, and has been granted priority review status. The priority review status places the application action date (PDUFA) at March 15th, 2014."

www.nkcf.org/wp-content/uploads/2013/04/Media-Release-11-25-13.pdf

And if you go to en.wikipedia.org/wiki/Prescription_Drug_User_Fee_Act it says.. "PDUFA dates are deadlines for the FDA to approve new drugs."

__________________


Executive

Status: Offline
Posts: 155
Date: Sat Feb 1 2:00 PM, 2014
Permalink   
 

Approval they say will be this year...it will take time for insurance to follow up on it...you may have to argue your case with your insurance provider at that time.

Best of luck, Wayne



__________________


Member

Status: Offline
Posts: 3
Date: Sat Feb 1 6:35 PM, 2014
Permalink   
 

I was quoted $3000 per eye about a year ago. Have the prices changed since then, also do you think prices will come done when it gets approval. The procedure (epi on) seems simple enough, I have no idea why it costs so much.

__________________


Veteran Member

Status: Offline
Posts: 61
Date: Sat Feb 1 9:04 PM, 2014
Permalink   
 

Epi on vs Epi off, there is debate on the efficiency and effectiveness. Prices vary place to place with crosslinking...demand and supply has got to do with it.



__________________
Page 1 of 1  sorted by
 
Quick Reply

Please log in to post quick replies.

Post to Digg Post to Del.icio.us

www.kcfreedom.org

Knowledge Works