Medicare D for 2023

Has anyone looked at their options yet? Are you going to save a lot of money? I didn't even look at other plans because the one I have (Silverscript) is really good; the only med I pay for is clozapine which is expensive but since I'm not paying for anything else it's not that bad.


For 2023 my monthly cost is about $5 lower for the same plan and as far as I can tell clozapine is also free. Which means the monthly payment is my only cost. If that's true this is a truly great plan (it is on the expensive side for a plan but the cost is not bad if I don't have co-pays).

I'm just surprised that anything can be cheaper right now. I'm going to have to call to verify that clozapine really is free. I'd hate to opt for this and then find out it actually isn't covered and I'm not reading the Medicare summary correctly.

There’s no Medicare advantage plans in my area. I’m on Medicare original with extra help. I got a letter the other day asking me to join ucare, but it’s not in my zip code. Unfortunately that means I have no eye, ear or dental coverage and no ip mental health

I'm on standard Medicare too as there are no advantage plans here either.


I do have dental and vision that I found through private insurance plans. Not cheap but they will totally pay for themselves for a long time when I have a dental crown next week.


I'm wondering about Med D alone.

I do have a med coverage but it’s united. It’s the only one in my area. So I can’t say if silver script is worth it. It sounds good. Especially if it covers the clozapine

I do not have part D but my friend has medicaid and part d and her clonzepam (klonopin) is free. I wasnt sure if it was the same med you mentioned.

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Originally Posted by BeyondtheRainbow Has anyone looked at their options yet? Are you going to save a lot of money? I didn't even look at other plans because the one I have (Silverscript) is really good; the only med I pay for is clozapine which is expensive but since I'm not paying for anything else it's not that bad. For 2023 my monthly cost is about $5 lower for the same plan and as far as I can tell clozapine is also free. Which means the monthly payment is my only cost. If that's true this is a truly great plan (it is on the expensive side for a plan but the cost is not bad if I don't have co-pays). I'm just surprised that anything can be cheaper right now. I'm going to have to call to verify that clozapine really is free. I'd hate to opt for this and then find out it actually isn't covered and I'm not reading the Medicare summary correctly.

Thanks Sarah. No, clozapine and clonazepam are 2 different drugs. I actually take both so have to be careful to never mix them up. Thanks for the information though!

I need to do that. I have insurance that takes the place of Medicare. The vision and dental coverage is very poor. I have not yet researched options.

Are you sure you don't have IP mental health? I've been IP and it's been covered above a $1200 (I think) cap. Mental health has to be treated the same as physical health now. Not that $1200 isn't a lot of money but it is coverage.


I remember having an insurance plan that had a $15,000 deductible for mental health. So glad it's not like that now.

Yeah, on Medicare there’s a lifetime limit. I’ve been ip so much I’ve met the limit.

That's scary.

I have traditional Medicare and don’t even know if there are any other plan options in my small town. I won’t change because I don’t want an insurance company to dictate what test and care I will get.

I have Humana as my drug plan so my meds are all free. I get nervous every year that something will change but I already got a letter that nothing will change in 2023.

I do think Medicare should offer vision and dental.. I wind up using Care credit which I’m grateful for but damn that’s a big bill monthly if Steve or I need a crown because it can never be just a filling

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The lifetime limit is for psych ip only. It’s 190 days. If I need ip for psychiatric reasons though I’m out of luck. Which is illogical because im on SSDI for psychological reasons

it scares me because psych stay days add up. I have almost always been in 10-14 days and while only 3 weeks of that is Medicare time I can see how those days can add up fast. Just being IP for ECT would eat up several weeks to a month. I hope I never go back, especially not for ECT, but I don't see how they can set those limits.

That really sucks for you and others in your spot.

I'd read that before but interpreted it to mean the limit was on a free-standing psych facility, not a psych floor in a general hospital. Guess I should have read more carefully.

If I remember rightly if you go so long in between stays they start over. I don’t remember exactly. I know NAMI is working on getting that limit revoked.

Nammu I just looked. Sooooo scary !

I hope that can be change ! I wonder if Medicare has other cut offs for medical care ?! Crazy

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No just psych hospitals. It’s discriminatory pure and simple

I was 29 when I got SSDI, so young. And my lifetime limits nearly didn’t matter as I would have been dead without hospitalization. It’s a catch 22 situation.

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Originally Posted by sarahsweets I do not have part D but my friend has medicaid and part d and her clonzepam (klonopin) is free. I wasnt sure if it was the same med you mentioned.

Hi! I haven't seen you around in forever. Welcome back!

I finally got this figured out and I really did have a decrease in clozapine cost from $47/month to $0. I'm not asking questions. This also means I can try the other pharmacy in town to see if they can handle it better and it will still be much cheaper than clozaril this year.

Yay!

Now I'm on hold for 17 minutes and counting about my inhaler assistance program. I was on yesterday for 55 minutes before I had to get off. I don't know what their issue is; I've never had this kind of problem before. Oh well.