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Old Jun 14, 2013, 03:10 PM
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Foramir Foramir is offline
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Location: Colorado
Posts: 33
I'm a 26 year old Bipolar sufferer, if that's even a word, who is on disability with medicare with supplement plans for seeing the doctor and my drugs. I don't know if I need to change coverage for my meds or what to do, but my meds will run out in exactly 2 weeks and if I don't take them I WILL be either be admitted to a psych hospital or put in jail. My current drug coverage, and pharmacy, will not cover my meds which are a tier 4 drug and since I'm on extra help I will only pay $3.50 for a 90 day supply.... I know this is random but that is how my mind works...

Foramir
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  #2  
Old Jun 17, 2013, 08:40 AM
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Fresia Fresia is offline
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Member Since: Apr 2010
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I am sorry for not completely understanding, please forgive if I do not have what you asking but this is what I understand and will try to help. If it is a matter of needing a new prescription, contact the physician for a refill or even a short-term refill until the doc can see you, as I know some docs require an appointment to write out refills and make an appointment at the same time. If it is a matter of not being covered by the insurance for specific tiers, you may find help with the Psych Central Drug Prescription Drug Discount Card (located at the top of this forum), for meds not covered by the insurance and can reduce the cost of them.

However, is it because it is a Tier 4 that the med requires a prior authorization from the insurance company? You can find out from the insurance company or ask the pharmacist why it is not being covered/why it was denied when you went to fill it. If it is because a prior authorization is needed, then contact the doctor's office that prescribes it that you need a prior authorization from your prescription insurance company for that med. Give them that insurance's information and it can take a few days to go through so should be started as soon as possible, if this is the case.

Again, I am sorry if I misunderstood and hope you find a solution soon so the consequences of running out do not become a reality. Do what you need to talk to your doc about a refill, or using the prescription drug card to help get your meds, or get a prior authorization. Best wishes meanwhile and hang in there!
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Last edited by Fresia; Jun 17, 2013 at 08:54 AM.
Thanks for this!
anneo59
  #3  
Old Jun 17, 2013, 11:29 PM
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cryingoutloud1 cryingoutloud1 is offline
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Member Since: Mar 2012
Posts: 47
you can try to apply for medicaid. Contact your local Department of social service. they should be able to help you with this process. in the mean time contact your doctor for refills and let DSS know of your situation and your MD
Thanks for this!
anneo59
  #4  
Old Jun 18, 2013, 03:17 PM
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anneo59 anneo59 is offline
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good advice from other folks here, see what you can find out, and the best!
  #5  
Old Jun 22, 2013, 09:25 AM
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redbandit redbandit is offline
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Member Since: Jun 2012
Location: USA
Posts: 811
I am 26 and also bipolar. I don't know a whole lot about medicare, I thought people our age got medicaid. I apologize, I don't know the difference. I hope you can get your meds. I had a similar problem last year since I got married. My husband didn't know he had to add me within a certain time frame, and I had to pay out of pocket. I was going through a mental breakdown, so I understand your pain. If u ever want to talk you can msg me.
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