Re: Pay for Gleevec

[Guest guest]

Hi Lottie and thanks for your elaborate reply, very much appreciated :-) I would

really like to speak to you in person, so if you use Skype, or have any of the

messengers, then please let me have your details and i'll add you.

I look forward to hearing back from you in due course.

Kindest regards,

Pete.

@...: lotajam@...: Mon, 17 Nov 2008 00:10:33

-0600Subject: [ ] Pay for Gleevec

Dear Pete,Yes, we pay for our own meds. If you have insurance that covers your

meds, then you only have to meet the co-pay. There are several organizations

that help you with the payment or pay for all of it, depending on your income.

Medicare would not cover it, since it is oral; however if it was an infusion,

they would pick up 80% and your secondary insurance would pay the other 20%.

Some organizations deal specifically with cancer and LLS helps you find someone

to help you pay for CML drugs.You are not ignorant, Pete, how would you know,

just as we don't know how your system works. Where are you from and how does

yours work? Not every country with socialized medicine picks up the tab for your

meds and you also have to pay for your insurance. Maybe some of our members

could explain their system and then we would understand how everyone has to deal

with the problem. I am over 65, so I am in the Medicare system which pays 80%

with my secondary insurer picking up the other 20%. However, that does not pay

for my meds. We on Medicare are qualified to get into what is called a Plan D.

Quite a few pharmaceticals participate, but not in all states. You have to look

up the one for your state and see what each one offers as their formulary, such

as the class of drug and they will pay a percentage. The tiers are all different

and it takes a Philadelphia lawyer to figure it out. If it is a common generic

drug, you may not have to pay anything, and some charge a co-pay. For instance

if something is $129, I may have a small co-pay as long as it is generic.

However, the little fly in the ointment is a TrOOP Limit (it gets complicated

here) and once you have reached the level of $4,050 out of pocket expenses

including your Plan D and your payments, you would be in Catastrophic Coverage

phase and would only be liable for 5% of the cost. In January, you begin another

calendar year and go back to paying the initial coverage limit of $3,715.53.

After that time, you would pay full price for all of your drugs until you reach

the TrOOP level of $4,050. I know, it's as clear as mud. Walmart and the big

super drug stores have begun to offer generic drugs for $4.00 and Publix super

markets which are located in Florida and a few other southern states give them

free. How I wish I lived in Florida. LOL.Blessings,Lottie[Non-text portions of

this message have been removed]

_________________________________________________________________

See the most popular videos on the web

http://clk.atdmt.com/GBL/go/115454061/direct/01/

[Guest guest]

Lottie--really! Free generic drugs?! That is fantastic. I am

hoping and praying that we will soon have a nationalized healthcare

program where this worry about drug costs will be a thing of the past!

Hugs,

Vicki

>

> Dear Pete,

> Yes, we pay for our own meds. If you have insurance that

covers your meds, then you only have to meet the co-pay. There are

several organizations that help you with the payment or pay for all

of it, depending on your income. Medicare would not cover it, since

it is oral; however if it was an infusion, they would pick up 80% and

your secondary insurance would pay the other 20%. Some organizations

deal specifically with cancer and LLS helps you find someone to help

you pay for CML drugs.

>

> You are not ignorant, Pete, how would you know, just as we

don't know how your system works. Where are you from and how does

yours work? Not every country with socialized medicine picks up the

tab for your meds and you also have to pay for your insurance. Maybe

some of our members could explain their system and then we would

understand how everyone has to deal with the problem.

>

> I am over 65, so I am in the Medicare system which pays 80%

with my secondary insurer picking up the other 20%. However, that

does not pay for my meds. We on Medicare are qualified to get into

what is called a Plan D. Quite a few pharmaceticals participate, but

not in all states. You have to look up the one for your state and

see what each one offers as their formulary, such as the class of

drug and they will pay a percentage. The tiers are all different and

it takes a Philadelphia lawyer to figure it out. If it is a common

generic drug, you may not have to pay anything, and some charge a co-

pay. For instance if something is $129, I may have a small co-pay as

long as it is generic.

>

> However, the little fly in the ointment is a TrOOP Limit (it

gets complicated here) and once you have reached the level of $4,050

out of pocket expenses including your Plan D and your payments, you

would be in Catastrophic Coverage phase and would only be liable for

5% of the cost. In January, you begin another calendar year and go

back to paying the initial coverage limit of $3,715.53. After that

time, you would pay full price for all of your drugs until you reach

the TrOOP level of $4,050. I know, it's as clear as mud.

>

> Walmart and the big super drug stores have begun to offer

generic drugs for $4.00 and Publix super markets which are located in

Florida and a few other southern states give them free. How I wish I

lived in Florida. LOL.

> Blessings,

> Lottie

>

>

[Guest guest]

> I see all the different responses for how people pay for their

Gleevec. I have Aetna Insurance through my husbands job. It covers

us for medication with a co-pay. I pay $80.00 for a 3 month supply

of 400mg. Gleevec. Most of our co-pays are only $20.00 for a 90 day

supply, and this is through Medco who Aetna uses for their Pharmacy.

It is strictly a mail order plan. I appreciate all the information

for when we have to switch to Medicare. The economy is just tearing

people up, and then when you have to worry about how your going to

get your medications makes it worse. If anyone is not working, or

comes under the poverty level, you can apply for free medications

until things get better for you. We had to do it a few years ago,

and I got my Gleevec for 1 year free.

Suzzie

>

> Hi Lottie and thanks for your elaborate reply, very much

appreciated :-) I would really like to speak to you in person, so if

you use Skype, or have any of the messengers, then please let me have

your details and i'll add you.

> I look forward to hearing back from you in due course.

> Kindest regards,

> Pete.

>

>

>

> @...: lotajam@...: Mon, 17 Nov 2008 00:10:33 -0600Subject:

[ ] Pay for Gleevec

>

>

>

> Dear Pete,Yes, we pay for our own meds. If you have insurance that

covers your meds, then you only have to meet the co-pay. There are

several organizations that help you with the payment or pay for all

of it, depending on your income. Medicare would not cover it, since

it is oral; however if it was an infusion, they would pick up 80% and

your secondary insurance would pay the other 20%. Some organizations

deal specifically with cancer and LLS helps you find someone to help

you pay for CML drugs.You are not ignorant, Pete, how would you know,

just as we don't know how your system works. Where are you from and

how does yours work? Not every country with socialized medicine picks

up the tab for your meds and you also have to pay for your insurance.

Maybe some of our members could explain their system and then we

would understand how everyone has to deal with the problem. I am over

65, so I am in the Medicare system which pays 80% with my secondary

insurer picking up the other 20%. However, that does not pay for my

meds. We on Medicare are qualified to get into what is called a Plan

D. Quite a few pharmaceticals participate, but not in all states. You

have to look up the one for your state and see what each one offers

as their formulary, such as the class of drug and they will pay a

percentage. The tiers are all different and it takes a Philadelphia

lawyer to figure it out. If it is a common generic drug, you may not

have to pay anything, and some charge a co-pay. For instance if

something is $129, I may have a small co-pay as long as it is

generic. However, the little fly in the ointment is a TrOOP Limit (it

gets complicated here) and once you have reached the level of $4,050

out of pocket expenses including your Plan D and your payments, you

would be in Catastrophic Coverage phase and would only be liable for

5% of the cost. In January, you begin another calendar year and go

back to paying the initial coverage limit of $3,715.53. After that

time, you would pay full price for all of your drugs until you reach

the TrOOP level of $4,050. I know, it's as clear as mud. Walmart and

the big super drug stores have begun to offer generic drugs for $4.00

and Publix super markets which are located in Florida and a few other

southern states give them free. How I wish I lived in Florida.

LOL.Blessings,Lottie[Non-text portions of this message have been

removed]

>

>

>

>

>

> _________________________________________________________________

> See the most popular videos on the web

> http://clk.atdmt.com/GBL/go/115454061/direct/01/

>

>