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Prescription Insurance 2 years 1 month ago #70661

Meredith Offline Posts: 66 Thank you received: 2	I have Medicare and Blue Cross as a secondary coverage. I have Humana prescription plan. As retired educators, our combined income is said to be too high for help with co pays. Consequently, I cannot afford the $5000. To $10,000 copay for Promacta, Doptelet, nor Tavalisse. Any suggestions would be extremely helpful.
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Prescription Insurance 2 years 1 month ago #70662

mrsb04 Offline ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use. Posts: 2089 Karma: 7 Thank you received: 603	Meredith, My heart goes out to you. I find it completely wrong that one has to pay insurance for health care and treatment is governed by ability to pay. Thank goodness for our NHS.
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Prescription Insurance 2 years 1 month ago #70663

MelA Offline Posts: 1075 Karma: 2 Thank you received: 359	Meredith have you looked into AARP gap insurance [I'm assuming you have medicare], they have a number of plans I understand "Instead of wasting your time worrying about symptoms, just get it checked out" -Nieca Goldberg, MD
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Prescription Insurance 2 years 1 month ago #70664

midwest6708
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~ Janet ~ Diagnosed Sept. 2008
Posts: 398
Karma: 2
Thank you received: 91

I also get Part D from Humana, but a copay for Promacta would cost me $80 a month if I wanted to take it. The union group I'm in is large, so it has good bargaining power on plan costs to members. I'm taking NPlate mainly because it's completely covered under Part B as a medical treatment, unlike Promacta which is under Part D as a drug.
So my only suggestion is to shop plans and be ready to switch at the next open enrollment.

The following user(s) said Thank You: Tad Moody

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Prescription Insurance 2 years 1 month ago #70729

sleev-les
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Posts: 62
Thank you received: 7

It's interesting to hear that you don't qualify for the co-pay programs. I am in a higher earner bracket and asked this question in case I have to move to plan B which is Rituxan. Cost is astronomical as you mentioned about your list. When I asked the Hema about it, he stated he's never seen someone disapproved. I am also in a program like this for Eylea which is an injectable I have to get for diabitic retinopathy every 8 weeks. It brings my out of pocket from $300 an injection to $25ish an injection. I hate that insurance still costs so much out of pocket. I hope you find a way to get a good treatment.

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Prescription Insurance 2 years 2 weeks ago #70812

ImPatient Offline Posts: 149 Thank you received: 27	Meredith did you try to write to the companies for advice directly? I don't know if that's helpful at all. I'm currently not returning to the US because I wouldn't know how to afford it either.
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Prescription Insurance 2 years 2 weeks ago #70813

Meredith Offline Posts: 66 Thank you received: 2	Yes I have government insurance snd make over $50,000. Sad, but true
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