Finances and benefits for people with asthma

Asthma can affect people’s finances in different ways. People’s income may be affected by having to go part-time, or give up work altogether.

Jane Y felt that having to retire early had left her with financial constraints that she wouldn’t have had if she had been able to carry on working.

Ann had left her full-time job and was looking for something part-time and less demanding, but being reliant on her husband’s income after a lifetime of being self-sufficient upset her. “I liked earning as much as my husband and feeling that we had an equal partnership. And of course that’s changed”.

Jenny is now no longer able to work at all, and although she is hoping to do some part-time work, is currently relying on benefits and her parents. She thinks sometimes people don’t always understand.

Sometimes people wonder why Jenny is on benefits and can’t earn her own living. If you look at me I look perfectly healthy.

Age at interview 34

Gender Female

Age at diagnosis 18

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Jenny explains what benefits she is entitled to, but feels the way the system is organised is unfair.

Age at interview 34

Gender Female

Age at diagnosis 18

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Jenny feels resentful that there is little financial help available for her parents who act as her carers. “They get no financial support because I’m their child. If I was a stranger who lived in the house and they had to support me, they’d get help.”

One problem is that, unlike a physical disability, asthma comes and goes and its effects are less obvious and less predictable.

Jane finds it frustrating that it’s so difficult to get benefits because of the unpredictable nature of asthma you can’t say you’re going to be poorly for the next six months, but you know yourself you will be.

Gender Female

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Other help available includes Motability. Through Motability, people who get higher rate disability living allowances can exchange part or all of that allowance to lease the car of their choice. Jenny explained that as part of Motability she gets free roadside assistance.

Given the need for regular medication of various types, prescription costs can also be a worry. Some people may be eligible for free prescriptions, for example people who are retired or on benefits, but many people have to pay, and some wondered if the costs could make some people decide to stop taking some of their medicines. If you pay for 4 or more prescriptions in 3 months, or for 13 prescriptions or more a year, a pre-payment certificate (PPC) can help. Pre-payment certificates are like season tickets, allowing people who need regular prescriptions to save money through a pre-paid set fee for prescriptions, regardless of the number of medicines they need.

Pre-payment certificates helped people to budget and were easier on the pocket. Jane felt it was quite a good deal, working out at around £2 per week. She could see giving all people with asthma free prescriptions “would practically bankrupt the NHS”, but at the same time felt it was unfair that people with asthma living in England do not qualify for free prescriptions. Jane said that this “annoys me more than anything”. Her suggested solution was that everyone (unless they were on benefits) should pay a flat fee so there was no discrimination between conditions. Several supported the Prescription Charges campaign which encourages the government to bring England into line with Scotland and Wales, where prescriptions for people with long-term conditions are free.

Catherine explains how costs can mount up when you have a chronic condition.

Age at interview 39

Gender Female

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Andreane feels it’s unfair she has to pay for asthma medication when people with some other conditions get free prescriptions.

Age at interview 48

Gender Female

Age at diagnosis 33

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Travel insurance had been difficult to obtain, or more expensive, for some people if they were judged to have an increased risk of being hospitalised because of their history of past hospital admissions, or the severity of the asthma. Jane said that the cost of her travel insurance was more than half the cost of her last holiday. Susan had managed to find a good deal through her bank.

Susan explains some of the difficulties when you apply for travel insurance. She advises people to shop around. [AUDIO ONLY]

Age at interview 31

Gender Female

Age at diagnosis 18

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Living with asthma can result in other less obvious costs too, for example costs of cleaning and changing furnishings and flooring at home to get rid of house dust mites (see Exercise, diet, weight and other lifestyle issues), and having to pay frequently for hospital car parking if you need a lot of appointments. Some people had employed a cleaner or someone to do the garden because these would be things that trigger their asthma and were best avoided, but this was not an option that everyone could afford.

Asthma and the workplace

Working life and asthma In our interviews people described ways in which having asthma had impacted on their work and finances. Generally, people said it...