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Food with Attitude!
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Poster Handle
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Louis in Richmond |
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Post Content
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What the hell?!?!? His cost goes up?
My healthcare is by Anthem. Once we pay either $1,500 or $1,800 in copays [I forget how much], whether they are for Dr. visits, prescriptions, or trips to the E.R. once we reach that limit they cover meds and supplies at 100% and Dr. and hospital visits are a $25 copay.
For example, one of my glaucoma drops is $99 at Anthem's cost to me. So in those cases of high-cost meds I will call or email the manufacturer and get a manufacturer's discount so now my glaucoma drops only cost me $30 because the Mfr. then covers $69 of the cost. And now that we have met the $1,800 maximum those eye drops cost me nothing.
Why the heck such ridiculous differences in what healthcare covers? It's infuriating.
Quoting: Louis in Richmond Right? It's called a donut hole. The lady at the drug store told me that so I could look it up.It's the dumbest thing I've ever heard of! We have to pay 25% which is about $225 for one & $140 for the other, per month! We have to spend another $2000 on drugs before the coverage kicks back in. Then in January, it starts again. That is why you hear about older folks having to choose between meds & food. [ link to www.medicareinteractive.org (secure)] All doctor & hospital visits are covered 80%, I think after we pay a small deductible for the year, like $200? The drug deductible is separate, I think $325. Plus the monthly premiums. They're not high compared to private plans, but if you're on SS, it's a lot. One of the reasons GLP exists is so we can help each other. Can he use Humalog insulin? I will send a care package with a few month's supply if it would help. Then he would not need to use that God-awful Metformin that causes cognitive impairment. Thank you, but He hasn't been on insulin yet. He said his doc mentioned it once but MR told him no.  Well, I went ahead and got this month's supply of his shot, Ozempic. The doc wanted to double his dosage. I'm not sure if this pen is different, but if I can, I'll keep him on the half dosage he is on right now. That way, it will last him 2 months instead of 1. Hopefully! At any rate, he is good for another month. One day, or month, at a time. Okay, please let me know if I may help in any other way.
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