Guest guest Posted March 27, 2010 Report Share Posted March 27, 2010 Lets have a discussion on what Xolair users can expect to happen under the new health care reform. I sense how the deer in the headlights feels as I try to comprehend the changes that may be ahead. For instance, people who currently can't get insurance and are forfeiting their life savings for Xolair should be able to get insurance soon, but it will be in the form of a high risk pool in the early years, so who knows what this will cost?? And has anyone heard what kind of assistance low income folks will be able to get for their insurance premiums, especially those that wind up in the high risk pool? Will Xolair treatment be handled as a medical treatment, or as a drug, under regular insurance plans? For Medicare recipients, will Xolair be covered under Part D, or will it be covered under Part B as a medical treatment? And if handled as a drug how will this affect people on Medicare. I understand the pharmaceutical companies are going to pay 1/2 of the cost for drugs for Medicare recipients in the donut hole and the government will kick in something like a $250 tax credit but how does this really play out in terms of out-of-pocket costs for Medicare recipients. Will the pharmaceutical company assistance effectively just widen the donut hole, or will it in fact reduce the Medicare recipients out-of-pocket payments by 50%? And I understand this will be changing over the years as the donut hole is slowly eliminated. I realize there's too many questions here for anyone to answer at once but hopefully a general forum discussion can follow as information is dribbled out on how Xolair users will be affected. Hopefully we won't have to hire an accounting firm to figure out what we're going to have to pay for Xolair shots. Quote Link to comment Share on other sites More sharing options...
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