Can Gan An Neng Cure Hepatitis B? Insurance Coverage and Costs Explained - Gastroenterology and Hepatology

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Hello Dr.
Chen, I would like to ask if Gan An Neng can truly cure Hepatitis B completely.
Is there a possibility of that? Also, I have been taking Gan An Neng for almost a year and a half now.
I heard that health insurance only covers it for up to a year and a half, and after that, I would have to pay out of pocket.
Is that true? If I do need to pay out of pocket, what is the approximate cost of one pill? Or are there other effective medications that are covered by health insurance? Thank you for your response.
6/21

Sam, 20~29 year old female. Ask Date: 2006/06/21

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello Sam:
1.
Hepatitis medications can inhibit viral replication, but to eliminate the virus, the patient must develop antibodies.
Generally, the success rate after one year is about 30%.
Prolonged treatment may lead to a higher success rate, but there is also a risk of treatment failure due to viral mutations that can cause drug resistance.

2.
Whether to discontinue treatment after a year and a half should be discussed with your physician.
If you decide to stop the medication, careful monitoring is essential, as hepatitis can easily relapse.
If you choose to continue treatment (approximately $105 per pill), you might consider switching to Tenofovir (around $200-$250 per pill, currently not covered by insurance) to reduce the risk of drug resistance.

Changhua Hospital cares about your health,
Chen Shidian

Reply Date: 2006/06/21

More Info


Hepatitis B is a viral infection that affects the liver and can lead to chronic disease, liver cirrhosis, and even liver cancer. The treatment landscape for Hepatitis B has evolved significantly over the years, but it is important to clarify that, as of now, there is no definitive cure for Hepatitis B. Current antiviral therapies, including drugs like Gan An Neng (also known as Tenofovir), can effectively suppress the virus and help manage the disease, but they do not eliminate the virus from the body.

Gan An Neng (Tenofovir) is one of the most commonly prescribed antiviral medications for chronic Hepatitis B. It works by inhibiting the replication of the virus, thereby reducing the viral load in the bloodstream and helping to improve liver function over time. While many patients experience a significant reduction in viral load and improvement in liver enzymes, the virus can remain dormant in the liver, which means that lifelong monitoring and potentially ongoing treatment may be necessary.

Regarding insurance coverage, it is true that in many healthcare systems, including Taiwan's National Health Insurance (NHI), there are specific criteria that must be met for antiviral medications to be covered. Typically, coverage may extend for a certain period, often up to one and a half years, after which patients may need to transition to self-pay if they do not meet the criteria for continued coverage. The criteria for coverage often include factors such as liver enzyme levels, viral load, and the presence of liver damage or fibrosis.

If you have been on Gan An Neng for nearly a year and a half, it is essential to consult with your healthcare provider regarding your treatment plan. They can assess your liver function, viral load, and overall health to determine whether you still meet the criteria for insurance coverage. If you do not qualify for continued coverage, you will need to consider the cost of the medication. The price of Gan An Neng can vary, but it is generally one of the more affordable options among Hepatitis B treatments, typically costing around $250 to $300 per month, depending on the pharmacy and any applicable discounts.

In addition to Gan An Neng, there are other antiviral medications available for Hepatitis B, such as Entecavir and Pegylated Interferon. However, the choice of medication should be based on individual patient factors, including the specific characteristics of the virus, liver function, and any potential side effects. Your healthcare provider can help you navigate these options and determine the best course of action for your situation.

It is also important to note that while antiviral therapy can significantly reduce the risk of liver damage and complications associated with chronic Hepatitis B, regular monitoring is crucial. This includes routine blood tests to assess liver function, viral load, and screening for liver cancer, especially if you have risk factors such as a family history of liver disease.

In summary, while Gan An Neng can effectively manage Hepatitis B, it does not cure the infection. Insurance coverage may be limited to a specific duration, after which self-payment may be necessary. It is vital to maintain open communication with your healthcare provider to ensure you receive the best possible care and to discuss any concerns regarding treatment costs and options. Regular follow-ups and monitoring will help manage your condition effectively and reduce the risk of complications.

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