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Prescription Insurance

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3 years 2 months ago #70661 by Meredith
Prescription Insurance was created by Meredith
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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  • mrsb04
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  • 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.
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3 years 2 months ago #70662 by mrsb04
Replied by mrsb04 on topic Prescription Insurance
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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3 years 2 months ago #70663 by MelA
Replied by MelA on topic Prescription Insurance
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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  • midwest6708
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  • ~ Janet ~ Diagnosed Sept. 2008
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3 years 2 months ago - 3 years 2 months ago #70664 by midwest6708
Replied by midwest6708 on topic Prescription Insurance
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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3 years 1 month ago #70729 by sleev-les
Replied by sleev-les on topic Prescription Insurance
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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3 years 1 month ago #70812 by ImPatient
Replied by ImPatient on topic Prescription Insurance
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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3 years 1 month ago #70813 by Meredith
Replied by Meredith on topic Prescription Insurance
Yes
I have government insurance snd make over $50,000.
Sad, but true

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