Multiple sclerosis (MS) is considered one of the neurological diseases that impose a significant financial burden on those affected, especially since it often affects individuals in early adulthood. In this article, we review the costs associated with the treatment and management of this chronic condition, and how those affected can manage these expenses and cope with financial challenges. From expensive medications to doctor visit costs, to home modifications and care expenses, we will discuss everything related to the financial impact of multiple sclerosis and how to obtain the necessary assistance. Join us on a journey to keep up with the numbers and facts concerning this important topic that concerns many individuals and families.
Average Costs of Multiple Sclerosis Treatment
The costs of treating multiple sclerosis (MS) are extremely high, with studies indicating that the average annual cost of treatment approaches approximately $88,487 per person. These figures include costs incurred from prescription medications, outpatient care, and a number of other medical expenses. Among the key components of treatment costs, it is noted that 54% of expenses go to prescription drugs, while medications administered in clinics account for 12%, and outpatient care for 9%. With nearly a million Americans suffering from multiple sclerosis, the overall economic burden of the disease is estimated to be very high, with costs amounting to about $85.4 billion annually, including individuals suffering from the disease, employers, and insurance companies.
Types of Costs for Multiple Sclerosis Treatment
Costs associated with multiple sclerosis treatment can be divided into direct and indirect costs. Direct costs include prescribed medications, which play a crucial role in treating the disease. Disease-modifying therapies (DMTs) are considered the most expensive, with annual costs ranging from $57,000 to $93,000. In addition to these medications, there is a range of other drugs commonly used to address common symptoms such as muscle weakness, spasms, fatigue, and bladder issues.
Indirect costs refer to expenses that are not directly related to medical treatment, but accumulate due to the impact of the disease on the individual’s life. These costs include loss of the ability to work, home modifications to accommodate special needs, and expenses associated with family care. The costs of these non-medical expenses are estimated at around $18,542 per year.
Ways to Manage Multiple Sclerosis Treatment Costs
Although the costs of treating multiple sclerosis may be staggering, it is possible to manage these expenses effectively. Health insurance plays a crucial role in alleviating financial burdens; therefore, it is important to know what your insurance covers and what the maximum out-of-pocket expenses are. If your insurance does not cover significant portions of treatment, it may be possible to participate in patient assistance programs.
There are many organizations that provide financial support for those with multiple sclerosis, such as the Good Days Fund and the HealthWell Foundation. Additionally, pharmaceutical companies offer special patient assistance programs for those without insurance. It is important to research these programs and resources and submit the necessary applications.
Dealing with Insurance Companies
Many insurance companies operate under the concept of “step therapy,” which requires patients to try the least expensive treatments before approving more costly medications. This policy can lead to delays in receiving necessary treatments. If an insurance company denies coverage for a specific medication, your doctor can submit an appeal, but there is no guarantee that the insurance decision will change. It can be helpful to seek assistance from a case worker from an organization such as the Patient Advocate Foundation to help navigate denials.
Available Assistance in Case of Inability to Afford Treatment
If
You may not be able to afford the costs of treating multiple sclerosis, but there are several options available for assistance. You may be eligible for a patient assistance program from the manufacturer. Non-profit organizations provide grants to help patients cover costs. Additionally, MS counselors in multiple sclerosis organizations can provide the resources and information needed to find financial help.
Communicate with your doctor
The relationship with your doctor is essential in managing the costs of multiple sclerosis treatment, as doctors can guide you in understanding the available treatment options. The doctor may assist with appealing to the insurance company, prescribing a lower-cost alternative medication, or referring you to financial assistance programs. Open communication with your doctor is important to ensure you receive the best available treatment options.
Source link: https://www.healthcentral.com/condition/multiple-sclerosis/multiple-sclerosis-treatment-cost
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