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Old 07-09-2009, 10:41 AM #1
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Default the fr8ggin' Gap

I have officially entered the Part D Gap/Donut Hole etc.

Ugh! Now I have to find serious extra bucks to have the honor of having Part D coverage again. Whose brilliant dea is it to make any insurance that quits smack in the middle anyway (rhetorical question)??

Anyone know how I let them know I have spent $ on some drugs without going thru insurance (via the $4.00 generic lists). I figure I need every deduction I can get my hands on...

What a bummer way to start my day
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Old 07-09-2009, 11:41 AM #2
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Oh, bummer, Jane! It doth sucketh, what a racket.

I'd bet my nickel that your pharmacy can generate some kind of report that would do the trick for documentation.
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Old 07-09-2009, 11:46 AM #3
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I'll be eligible for Medicare in Nov. 2010. Planning, probably, to keep the insurance coverage that I currently purchase thru DH's employer. Expect that will cover this "gap" thing I've been hearing about.

Wonder if it'll cost me more every month to pay these stupid extra medicare premiums, than I'll get in benefits. And, if these benefits will be more of a burden than a help.

Yes, j. I agree the AMN. Your coverage doth sucketh.

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Old 07-09-2009, 12:35 PM #4
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idiot designed this program. freaking idiots. You can tell they were folks who had been sitting on pretty policies, and have NO clue how the real world works.

Like asking a politician how much a gallon of milk costs, or what is the price of gas. They stare at you blankly and have NO clue how the real world works.

Oh! I know, we can save money, by putting in a donut hole! no one could possibly reach that amount of spending on health care. could they?? idiots!
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Old 07-09-2009, 12:38 PM #5
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I won't be eligible for Medicare until September 2010. Until then....I have nothing. It's not a good feeling to know that. I should probably start researching Medicare now but I figure it'll probably change by the time I'm eligible.......or the geniuses up on Capital Hill will decide that we don't need it anymore and it won't be available to me.
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Old 07-09-2009, 05:32 PM #6
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If you are on one of the shot meds for MS, it doesn't take you long to go in and out of the donut hole. But I agree with everyone, it does suck! One med I am on now for the pain, while in the donut hole, would cost over $1200 for a 30 day supply. These wonderful folks must think we are able to snatch money off trees to cover the medicine.
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Old 07-09-2009, 06:27 PM #7
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Quote:
Originally Posted by woodhaven View Post
If you are on one of the shot meds for MS, it doesn't take you long to go in and out of the donut hole. But I agree with everyone, it does suck! One med I am on now for the pain, while in the donut hole, would cost over $1200 for a 30 day supply. These wonderful folks must think we are able to snatch money off trees to cover the medicine.
Doesn't take long, but, still takes the same amount of dough!

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Old 07-09-2009, 09:36 PM #8
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Mu DH retires next year so i have to enroll in some plan in the no questions asked period during Nov and Dec. So I'm not sure whether I'll stay on his plan also until he retires. My sister was on the Humana Gold but hated it. I think she liked it mainly because of the YMCA Silver sneakers program.
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Old 07-10-2009, 09:42 AM #9
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I don't know if this helps folks, but my fiance is on Medicare and when he reaches the donut hole, the state program for medicaid takes over while he's in there.

He has no assets and has a minor child and I think that makes a difference. He hits the donut hole in February and is out of it by the end of February every year, so you can imagine what his drug costs are!

We are trying to plan for when the state program DOESN'T apply anymore, but saving that kind of money is outrageous when you are on SSDI and I don't know how people do it!

Land of the free and home of the brave and the broke and the ill.
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Old 07-10-2009, 10:47 AM #10
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Come on, bring on a decent, fair health care package for all..
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Last edited by SallyC; 07-10-2009 at 11:11 AM.
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