FAQ/Help |
Calendar |
Search |
Legendary Wise Elder
Community Liaison
Member Since Apr 2013
Location: Texas
Posts: 26,619
(SuperPoster!)
11 10.4k hugs
given |
#1
Does anyone have a plan that they like. We signed up for one but the meds are expensive even generics. I don't know how to find out what a plan will pay for various meds before signing up and can we change our minds now that we already signed up for one?
Sent from my iPad using Tapatalk __________________ Bipolar I, Depression, GAD Meds: Zoloft, Zyprexa, Ritalin "Each morning we are born again. What we do today is what matters most." -Buddha
|
Reply With Quote |
dancinglady, SeekerOfLife, Skeezyks
|
dancinglady
|
Poohbah
Member Since May 2013
Posts: 1,190
11 913 hugs
given |
#2
Thanks for asking this ? I take loads of meds and I am worried about how I will pay when I retire.
|
Reply With Quote |
Seeker
Member Since Jun 2010
Location: Here
Posts: 9,204
14 |
#3
usually it takes 2 yrs to get MediCare after one goes on Soc. Sec. Retirement (or Disability, but that usually takes 2 yrs to get on anyway). many Supplemental Medical Plans, such as AARP can be researched to see if they pay for specific meds, and how much of the cost they will pay. also, once you select a Plan and Enroll, you can only change at the end of the year (Oct. or Nov. ??) talk to your pharmacist about how to find a good Plan for you.
best wishes~ |
Reply With Quote |
SeekerOfLife
|
Pandita-in-training
Member Since Sep 2006
Location: Maryland
Posts: 27,289
(SuperPoster!)
18 550 hugs
given |
#4
I just started Medicare in October and signed up for a dud of a Part D so just switched to SilverScript, which my husband had. It doesn't sound as good for my meds as the dud I signed up for but at least it will be there whereas the dud people (EnvisionRX) weren't even there. I think open enrollment is until December 7.
https://www.silverscript.com/ __________________ "Never give a sword to a man who can't dance." ~Confucius |
Reply With Quote |
Gus1234U
|
Legendary
Member Since Jun 2007
Location: Washington DC metro area
Posts: 15,865
(SuperPoster!)
17 2,857 hugs
given |
#5
Perna is correct, if you want to change your Medicare part D (for medications) plan.
If you have a Medicare Advantage plan (which includes medication coverage) you can quit that and get just a part D medication-only plan until February 14. The plans that are available depend on your location. You can go to the Medicare Web site at https://www.medicare.gov and check the parts about getting medication coverage. I checked the part D plans available in my area, entering the medications I normally take, then found the cheapest plans. When you find one that seems to meet your needs, then you can check that company's formulary drug list to see which other drugs they include, and how much they cost. In my area I have a plan which provides the drugs I need AT NO COST (in addition to the part D insurance fee itself) through their mail-order pharmacy. As I said, plans vary by insurance company and the area you live in. You might check to see if any available to you have a mail-order pharmacy, and if that is cheaper than getting your drugs at a local drug store. __________________ Now if thou would'st When all have given him o'er From death to life Thou might'st him yet recover -- Michael Drayton 1562 - 1631 |
Reply With Quote |
Legendary Wise Elder
Member Since Oct 2004
Location: Kentucky, USA
Posts: 24,934
(SuperPoster!)
20 14.9k hugs
given |
#6
I'm screwed when it comes to medications even with Medicare. I'm on a medication that costs $1500/month (it used to be $3000/month but slowly lowered the dose). I hit the donut hole almost immediately & can't afford that amount $4000/year which they are now working on lowering but not enough to help. I am using patient assistance from the drug company to pay for it but that demands I can't have any other drug coverage.
If there ever is a time I do need to go back on a part D, the penalty per month for the rest of my life goes back over all the number of years I haven't had a part D....they penalize you for the rest of your life because their coverage was so crappy for the med I need that I can't afford to use it. I don't take any other meds & basically I would refuse to take anything on a permanent basis because I couldn't afford other meds without having some other coverage....just a good thing I'm fairly healthy I dont need anything but pain specialist has been complaining about my having higher blood pressure which has only happened since I had oral surgery & back to having the migraines more often since they lowered the med that really worked & after oral surgery the treatment only lasts just over 2 weeks now....before it had done well controlling the migraines with the other drop of meds but not so well now. Talk about stuck between a rock & a hard place....the system stinks __________________ Leo's favorite place was in the passenger seat of my truck. We went everywhere together like this. Leo my soulmate will live in my heart FOREVER Nov 1, 2002 - Dec 16, 2018 |
Reply With Quote |
SeekerOfLife
|
Grand Poohbah
Member Since Aug 2011
Location: Southeast US
Posts: 1,834
13 5,594 hugs
given |
#7
Gayleggg, don't know which plan you have but if you qualify for any assistance with drug cost & lower premiums it's worth a call to your plan & talk to someone.
Have Humana Gold Plus & get low income assistance with prescription co-pays & lowered premium pmts. also lower co-pays for specialist & procedures. For me it's based on the previous year tax returns. Know it's hard to muster up the energy to make these calls & give them the info they need to see if you qualify but it could be well worth it. Know it's frustrating & wish you the best. |
Reply With Quote |
Reply |
|