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LakeshoreLeo1953

10/21/21 3:01 PM

#333468 RE: LBSR TO DA MOON #333465

And the Insurance Company "contract" with the manufacturer is?

Seems from your numbers it is NOT $156K/yr.

Let alone lifetime limits from Insurance?
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Ortiz

10/21/21 3:06 PM

#333470 RE: LBSR TO DA MOON #333465

Thanks LBSR for clarifying how insurance works given your first hand experience. I’m NOT TO familiar how the system works. I just present my health insurance card and move on. Very complicated stuff, I think.

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Bourbon_on_my_cornflakes

10/22/21 8:17 AM

#333557 RE: LBSR TO DA MOON #333465

Great post, LBSR squares the circle

Once the $30,000 savings plan is exhausted, my sister must pay out of pocket until her maximum out of pocket limit is reached (which in her case is $3,500). Once that happens, then her insurance plan covers 100% of the cost of the biologic for the remainder of the year. Therefore, in her case, the annual cost of her biologic is $156,000, but she only pays a maximum of $3,500 per year. This is an example of how such expensive medications are paid and how families can afford it...

List price and actual price paid by user are two completely different things in medicine. Just look at your doctor bill. A recent one of mine had procedure cost of $2,000, my out of pocket cost as negotiated by my insurer $298.

So we could have a $200,000 cost for Rett initially, and the out of pocket cost could be $3,650 a year, or George's hypothetical $10 a day.

While that might be what patients pay, the revenues to AVXL, whether intially $200K for Rett or longer term $25K for alz will be vast multiples of $10 a day. Price your shares acccordingly.