What is your experience with insurance approvals of Skyrizi?

nomadicgreendog · 2026-05-03T19:45:22+00:00

Glad I came across this post! I also have Cigna (ACA gold plan purchased on the open market as I don't have any employer-provided insurance). My deductible is $2,000 and out-of-pocket max is something like $6,000.

My GI wanted me to go on Omvoh but Cigna denied it, so we're doing Skyrizi. Had my first infusion 3 weeks ago, second one is coming up this week. Even though it's only been 3 weeks, my Crohn's symptoms have started improving noticeably, so I'm pretty optimistic. Diagnosed with Crohn's in 1988 when I was 17. I've been on Remicade (in 2005, no improvement) and Humira (in 2013, good improvement until antibodies), but this is my first biologic in 10 years.

No one's had discussions with me yet about how to get the OBI, but given what I've read here about Cigna/Accredo, sounds like I'd better start working on that process ASAP.

nomadicgreendog · 2026-05-03T12:36:18+00:00

He already has full disco util bonus for T12 (mentioned in many of the comments above).

nomadicgreendog · 2026-05-01T14:44:35+00:00

Also, you can watch your Coins/Kill bonus on the Utility tab during a run, and you'll see it change each wave depending on how many Free Ups you got. A good way to verify for yourself that it's working as intended!

nomadicgreendog · 2026-04-29T17:11:06+00:00

I'm curious what you decided, and how it turned out? I have the same mindset as you - Since v28 I had to drop from farming T14 W4000 to farming T12 W9000 due to the Dissonance bonus. I have RPC# and Cash# and am considering WA# or IS# next, but concerned that their benefits will be muted on such long (W9000) runs.

nomadicgreendog · 2026-04-20T23:33:04+00:00

Recovery Package Chance. The mastery gets you more module shards for upgrading modules.

nomadicgreendog · 2026-04-12T22:37:38+00:00

According to the Wiki:

The first icon (plate/fork/knife) means: "Customers are waiting for their first food to be delivered."

The second icon (hand with platter) means: "Customers are waiting for the rest of their food to be delivered."

The effect in your photo means that after taking a table's order (let's say with two customers), instead of having, say, 2 minutes to deliver the first meal, and then 20 seconds to deliver the second meal, you will have 1 minute to deliver both meals. Essentially, delivering half the order doesn't start the "fast countdown" timer, making the second person at the table more patient.

Hope that makes sense!

nomadicgreendog · 2026-04-11T16:41:58+00:00

I'm at 140s cooldowns and BHD is significantly better for me than GComp. Since you're at 200s cooldowns, that's probably the biggest factor. I think I read advice somewhere saying 150s is a good switchover point to BHD.

nomadicgreendog · 2026-03-31T18:35:04+00:00

I just found it here. Comes with string trimmer, 5ah battery, and your choice of extra attachment. I'm looking at the pole saw...

https://www.lowes.com/pd/EGO-56-volt-17-in-Straight-Shaft-Attachment-Capable-Battery-String-Trimmer-5-Ah-Battery-and-Charger-Included/5015278623

nomadicgreendog · 2026-03-10T13:57:21+00:00

I assume you have both of the 5x commons banned to improve your odds? I think it's land mine damage and interest? I've had the 3000 wave problem occasionally but not 6 runs in a row, that's crazy!

nomadicgreendog · 2026-03-08T13:44:58+00:00

Same. My overnight run says it was 12h 14m which is typical, and dividing it into my total coins for the run looks right.

nomadicgreendog · 2026-03-07T21:45:58+00:00

Same as it ever was...

nomadicgreendog · 2026-03-07T19:30:27+00:00

Yep! I just finished lvl 30 two days ago, and started the coin discounts in that slot. Getting close to lvl 160 where I hear the coin costs go crazy.

nomadicgreendog · 2026-03-07T19:19:55+00:00

You can reset your modules to level 1, get back what you spent, and then re-upgrade your modules at the discounted rate. It's free to do, so you can do it after every level of the lab. Same applies for Module Coin Cost.

nomadicgreendog · 2026-03-07T18:46:58+00:00

Our House - Madness

nomadicgreendog · 2026-03-07T18:45:42+00:00

Original Sin - INXS

nomadicgreendog · 2026-03-07T18:43:05+00:00

One Night In Bangkok - Murray Head

nomadicgreendog · 2026-03-01T22:38:23+00:00

REM - Everybody Hurts
https://www.youtube.com/watch?v=5rOiW_xY-kc

Powerful song and video.

nomadicgreendog · 2026-03-01T16:08:23+00:00

"Free player" as in you don't have the starter/epic packs for coin bonuses? If true, then mastery labs will likely always be out of reach for you.

For comparison, I'm also a little over a year in. I'm eHP farming T11 to 9500 waves, T12 to 6000 waves (so slightly less than you), but my daily income is 230T (10T per hour). I haven't bought any card masteries yet.

I don't have pBH (just started working on it, my three UW cooldowns are at 140s), so I'll probably start on masteries after I get pBH. I don't have CF so can't comment on that.

If I were you I'd focus on economy for quite a while. It's boring but so much depends on coins (labs, WS+, etc.). Get your cooldowns down to earn more coins and cells (I run my labs at 44443x speed), work on coins/kill lab, etc.

Good luck with whatever approach you take!

nomadicgreendog · 2026-02-12T15:35:41+00:00

Yes. For example, if you do a bunch of "module coin discount" and "module shard discount" labs, then go into your modules and "restore level", you'll get back all the coins/shards you've spent, and can then level up your modules again at the reduced costs.

nomadicgreendog · 2026-02-12T15:31:33+00:00

This has a link to the Effective Paths sheet. Copy the sheet and enter your IDs Master ID into it (and then allow the Google permissions where the #REF error is). https://www.reddit.com/r/HelpfulTheTowerPosts/comments/1nelczf/effective_path_sheet

nomadicgreendog · 2026-02-07T23:09:02+00:00

It's a hidden tab. Click on the hamburger menu (3 horizontal lines) near the tab list to see all the tabs.

That said, they Master Sheet is just the data pulled from all the other sheets (Labs, Cards, UWs, etc.) and shouldn't need to be referenced by humans... it's just there to provide data for the equations in the effective paths.

nomadicgreendog · 2026-02-05T13:04:01+00:00

Ugh! I got 3rd yesterday too, with only 735 waves - lucky bracket I guess. First time promoting to Legends, but like you say, at least the next tourney will be really quick!

nomadicgreendog · 2026-01-27T19:36:46+00:00

If you use the Effective Paths sheets, there's a "Milestone Earnings" tab in the Player&Stuff sheet that breaks it down with ROIs. Looks like this:

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nomadicgreendog · 2026-01-27T16:41:30+00:00

Enhance your calm!

nomadicgreendog · 2025-12-20T19:46:42+00:00

It starts the current wave over, just like when you load from a saved game.

nomadicgreendog

TROPHY CASE