Friday, July 13, 2007

All Good

After this morning's missed Chantix dose, I met up with Tom at lunch and was able to take it roughly 6 hours later than normal. Other than my initial total panic mode thought pattern of "OMG, what will I do? What if the urges come back? What if I go really nuts (er, nuttier)? What if it's as hard as it was every other time when I quit before such thing as Chantix? Then what? Then what? What's gonna happen?" - everything actually turned out fine. No extra urges, no anything different. I think Stan is right that the Chantix is just built up in my system enough that missing a dose for a handful of hours is not going to suddenly and miraculously end my world with some smoky dramatic flair. Sometimes mundane is good.

That said, I'm not quite ready to experiment with dosing quite yet. I'm planning on staying on the whole 12 week plan (and just intend to taper down the last couple of weeks of that) since most of the side effects have mellowed out to mostly insignificant and since my insurance, fortunately, very fortunately, does actually cover Chantix with just the co-pay (and enrollment in their little program). I have Kaiser, in case you wonder - I'm really curious which plans do and don't cover Chantix, and anything I've read sounds really hit or miss depending on actual plans, even from the same insurance company. You'd think they'd all gladly pay double or more just to get people wanting to quit smoking to try Chantix. OK. I'll stop there because what comes next goes on for way too long, and I have work to do. Ta!

7 comments:

  1. A missed dose!!!! LOL, God forbid. Only kidding of course, keep up the great work and isn't breathing and tasting wonderful?

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  2. Blue Cross Oregon here... no coverage..

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  3. Thanks for mentioning insurance plans Stan and Lakasha. It makes me all the more curious to find out what others do/don't cover Chantix. I thought I saw Chantix listed on a Blue Cross plan in some state "back east" (as I've started to call home and further east than that since becoming a left-coaster), but no clue if it was just that state or a "premium" plan or what. I might have to set up a poll or something if I get time.

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  4. Blue Cross PA covered 30 dollars of the 127 dollar monthly bill (so far, and I have only tried the first month).

    I understand on one hand, as cessation is a really bad investment, since (hold your ears Lakasha) so many people fail. However, the chance of success with Chatix is much higher. Perhaps as the numbers start to add up, insurance companies will change their mind.

    I do like what yours has done Maggie. It's been shown time and again that having support in addition to whatever other cessation method you choose greatly enhances you chances of success...heh, I sound like a fricken infomercial. Ok, that sounds the bell for bed then.

    Good work staying strong Maggie!

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  5. Excellent point, Nathan. It is true that many people do quit only to start again, so by that train of thought, maybe insurers think "why throw good money after bad trying to save a smoker hell bent on going back to sucking poison, right?" At roughly $400 a few times, it could get a little pricey.

    Yet even just from a pure cold money standpoint, if the money was mine to manage, I'd take the chance on these people all quitting at some point overall costing fewer dollars in the end than what long term smoking related problems would cost. And from a human standpoint of patients/employers paying premiums for medical insurance, I'd want to see that they were provided with, well, good medical care, in return. Ditto for providing a support plan backdrop to the Chantix approach for the best success if I really wanted to boost chances and keep more money in my pocket.

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