The company just called me today. They wanted to see if I qualify for the medicare program that helps with the cost since I am on a advantage plan I could try but I didn'[t qualify because income was over $1600.00 per and then she said there is a non profit program that will help you out as long as your household is not bringing in over $50,000.00 per yr, ok we are not at this time so she put me in for that one and said they would give me a call.

She said my co-pay should be between $10.00 and $50.00 I asked so if I don't get any help how much would I have to pay out of pocket for co-pay, she said $1500.00 per month.

So if I don't get help I will not be taken these meds. I can not afford them I don't want to pay $50.00... I went from paying $1.10 per prescription to $6.00 - $45.00 per prescription that I am on now all because my husband moved to Philly with me and got a job. So moving to Atlanta with unemployment still kicked me out of the help I was getting for premium of medicare and my prescriptions.

I just remembered there was a reason why I was going to stay in Philly.

remeber- every year the details of what an insurance does or does not cover (and for how much $) can change, so I encourage you to read, read, read those plan details, formularies, etc.

SSDA/SSA and SSDI can have different financial impacts, not the least is of which may be the availability of recieving the low income subsidy/copays

Private/employer sponsored insurance, govt sponsored insurances (TriCare, Medicare, Medicaid) and "group" insurances are not operated exactly the same. Heck, an insurer can have thousands of differing policies, depending on plan selected, premiums, coverage area (where you live) etc.

My new Med Adv PPO covers all the MS inj/oral drugs- but at the specialty/highest tier level. So I can now get the drugs via insurance IF I could afford the coinsurance percentages. C'est la vie.

For me, not having to choose a CRAB due to restrictions or finances almost makes it simpler. No decision or stressing.

Hi jane
 

Yes, I have had issues getting medication too. Glad we can talk about this here on NT. I wrote 8 begging letters to a medicare part D provider last year. Got disgusted that so many were denied to me. Changed the proveder this last december. The interviewer went over all my medications and said they were all covered. Got my new formulary, guess what, two arn't on it. So did they just lie to me to get me to sign up???????????????????????.
I think alot of folks are getting turned down for medications. Mine was for asthma, an inhaler, and singular. Both cost a fortune. I wonder how many others are having trouble getting meds. Sorry this happens to you too. ginnie