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Addison's Disease Treatment Cost


How Much Does Addison's Disease Treatment Cost?

 
average costWith Health Insurance: Doctor-Visit and Prescription Copayshigh costWithout Health Insurance: $240-$1,200+ Per Year
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In Addison's disease, the adrenal glands do not produce enough of certain hormones, such as cortisol and aldosterone, which are essential to proper functioning of body systems. Symptoms can include fatigue, weight loss, low blood pressure, low blood sugar, muscle pain and depression. Treatment typically consists of oral hormones.

Typical costs:

  • For patients covered by health insurance, out-of-pocket costs typically would include doctor visit copays and prescription drug copays. Treatment for Addison's disease typically is covered by health insurance.
  • For patients not covered by health insurance, treatment for Addison's disease typically costs about $20-$100 or more per month for prescription drugs -- about $240-$1,200 or more per year -- plus the cost of regular doctor visits for monitoring, at a typical cost of $50-$250 or more per visit. For example, Drugstore.com charges about $20 for a one-month supply of Prednisone, $40 for a one-month supply of generic cortisone acetate, $60 for a one-month supply of generic hydrocortisone tablets and $80 for a one-month supply of brand-name Cortef hydrocortisone tablets. In addition to one of these three drugs, some Addison's disease patients also require fludrocortisone acetate (brand name Florinef). Drugstore.com charges about $25 for a one-month supply of generic fludrocortisone acetate.
  • According to the U.S. Agency for Healthcare Research and Quality[1] , an office visit to a primary care physician costs an average of $100, while a visit to a specialist costs more than $200 on average. Thyroid patients at HealthBoards.com[2] report that an initial visit with an endocrinologist cost $100-$250 or more, but follow-up visits cost $35-$75.
Related articles: Cortisol Test, Emergency Room Visit, Health Insurance

What should be included:
  • A doctor typically will prescribe synthetic oral hormones to augment those being produced by the body. Cortisone acetate[3] , Prednisone[4] or hydrocortisone[5] can supplement low levels of cortisol. Fludrocortisone[6] can supplement low levels of aldosterone.
  • The Mayo Clinic offers an overview of treatment[7] for Addison's disease.
Additional costs:
  • A patient with Addison's disease can experience an acute adrenal crisis, which usually requires a trip to the emergency room.
Discounts:
  • Some clinics offer specialist care. The U.S. Department of Health and Human Services offers a locator[8] for clinics that provide discounts on an income-based sliding scale.
  • Many doctors and hospitals give discounts of up to 30% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System[9] in California offers a 35% discount.
  • Some drug manufacturers offer free or discounted medicines to patients in need. For example, Pfizer[10] , manufacturer of Cortef, offers the Connection to Care program, which provides free medication to patients who have an annual income[11] at or below two times the federal poverty level and are uninsured or facing financial hardship. The MAINTAIN program provides free medication to qualifying unemployed patients[12] . Or, any U.S. patient without prescription drug coverage can apply to join the Pfizer Pfriends[13] program, which offers discounts of about 15-36%.
Shopping for addison's disease treatment:
  • A primary care physician can make a referral to an endocrinologist, a doctor who specializes in diagnosing and treating problems with the endocrine system. Or, the American Association of Clinical Endocrinologists offers a doctor locator[14] by city and state.
  • Addisons-Help.com[15] offers information, forums and support for patients.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
My daughter is on State Insurance and they refuse to payf or 24 hour pump for addisons
Amount: $0.00
Posted by: Meaghan in Maricopa, AZ.Posted: August 9th, 2014 05:08AM
Treatment: A1 PrimaryProvider: Scottsdale Endocrinology
My daughter needs a life saving pump for her Addison's as she continues to go into crisis. The Dr.has written letters to the insurance stating LIFE and Death situation and yet the insurance still refuses to pay for it. Are there any programs or manufacturers that can donate the pump to her?
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External Resources:
  1.  www.ahrq.gov/news/nn/nn042507.htm
  2.  www.healthboards.com/boards/thyroid-disorders/528259-endocrinologist-cost.html
  3.  www.pfizer.com/files/products/uspi_cortisone.pdf
  4.  www.nlm.nih.gov/medlineplus/druginfo/meds/a601102.html
  5.  www.nlm.nih.gov/medlineplus/druginfo/meds/a682206.html
  6.  www.medicinenet.com/fludrocortisone-oral/article.htm
  7.  www.mayoclinic.com/health/addisons-disease/DS00361/DSECTION=treatments-and-drugs
  8.  findahealthcenter.hrsa.gov/Search_HCC.aspx
  9.  www.whhs.com/about/washington-hospital-discount-policy-for-uninsured/
  10.  www.pfizerhelpfulanswers.com/pages/Find/find1.aspx
  11.  www.pfizerhelpfulanswers.com/pages/Programs/programdetails.aspx?p=2
  12.  www.pfizerhelpfulanswers.com/pages/Programs/programdetails.aspx?p=116
  13.  www.pfizerhelpfulanswers.com/pages/Programs/programdetails.aspx?p=1
  14.  /www.aace.com/resources/find-an-endocrinologist
  15.  www.addisons-help.com/
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