I am a mostly healthy 77 year old female diagnosed with RA at age 58. I was doing well with Orencia and Plaquenil in the last 2 years. I have a medicare advantage health insurance, the same one for 12 years. My copays have been manageable until this year. I have now stopped the Orencia on the principal that I refuse to pay what they have charged me. I will talk with my provider next week about alternatives to biologics. Any suggestions?