Guest guest Posted August 31, 2010 Report Share Posted August 31, 2010 Betty, I believe that people who get in the doughnut hole are supposed to get a little relief, I think $150. I think it's this year, but I'm not sure. It won't help much, but maybe a little. What med do you take that costs $300? Can you get help from the company that makes it? Sue On Aug 31, 2010, at 11:13 AM, bettygates tds.net wrote: > my checks are always spent as soon as i get them. i have been in the > " doughnut hole " with my insurance for the last two months, and will be > until next jan., 2011. just ONE BOTTLE of my medicine is $300.00 > +.... i'm spending around $500 every month on my medicine, thats after > the insurance has paid what they'll pay. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2010 Report Share Posted August 31, 2010 I have been in the donut hole since Jan 4 10...my very first medication fill my copay was 4000.00..and yes there was a one time 250.00 check for those in the donut hole by April I believe it was..so, if you just reached the hole I don't believe you will get the check. Deb RN Fyi.the copay for orencia is 1800.00 (after insurance) I just learned that Humira (Abbott) labs will help those with no insurance the drug is free, those with insurance the co pay is cut to 5.00 and those with Medicare can still apply for assistance.most companies would not help if you have Medicare D but Abbott will.. Deb RN From: [mailto: ] On Behalf Of marysue Sent: Tuesday, August 31, 2010 12:43 PM Subject: Re: [ ] doughnut hole..... Betty, I believe that people who get in the doughnut hole are supposed to get a little relief, I think $150. I think it's this year, but I'm not sure. It won't help much, but maybe a little. What med do you take that costs $300? Can you get help from the company that makes it? Sue On Aug 31, 2010, at 11:13 AM, bettygates tds.net wrote: > my checks are always spent as soon as i get them. i have been in the > " doughnut hole " with my insurance for the last two months, and will be > until next jan., 2011. just ONE BOTTLE of my medicine is $300.00 > +.... i'm spending around $500 every month on my medicine, thats after > the insurance has paid what they'll pay. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2010 Report Share Posted August 31, 2010 Does Medicare help pay for Orencia, since it's given by infusion? Sue On Aug 31, 2010, at 2:27 PM, Deb wrote: > Fyi.the copay for orencia is 1800.00 (after insurance) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2010 Report Share Posted August 31, 2010 Yes under part B which then you have a 20 percent co pay.. Deb RN From: [mailto: ] On Behalf Of marysue Sent: Tuesday, August 31, 2010 3:14 PM Subject: Re: [ ] doughnut hole..... Does Medicare help pay for Orencia, since it's given by infusion? Sue On Aug 31, 2010, at 2:27 PM, Deb wrote: > Fyi.the copay for orencia is 1800.00 (after insurance) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2010 Report Share Posted August 31, 2010 Ms Betty- Have you had your Doc fill out the paperwork for the pharmaceutical company? You may qualify for free meds or at least way reduced. Also, there are many state and Federal programs. Ask your drug store folks- they will know all of the in & outs for your state. I have never heard of anybody being the hole in JANUARY! in SC -- On Tue, 8/31/10, bettygates tds.net <bettygates@...> wrote: my checks are always spent as soon as i get them. i have been in the " doughnut hole " with my insurance for the last two months, and will be until next jan., 2011. just ONE BOTTLE of my medicine is $300.00 +.... i'm spending around $500 every month on my medicine, thats after the insurance has paid what they'll pay. is anyone else having the same problems with their insurance, and getting their medicine ?? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2010 Report Share Posted August 31, 2010 Well, My meds are 10,000.00 a month..my first fill of 1 prescription put me in the hole..that med is 7000.00..I have been in the donut hole every year I have been on medicare (5 yrs) by the 15th of January.thank goodness I was on COBRA for the first 2 as my meds/iv's were about 90,000.00 a MONTH.I had fabulous insurance prior to becoming disabled...and when you look at biologics that you take 2-3 x the normal dose and take them much more frequently then the norm..my pain meds alone are /were 425.00 a day.my iv's were 2000.00 a bag/1 bag a day...thats not even factoring in the biologics..When I had regular insurance I usually met my 1000.00 out of pocket maximum by February..,,, I learned that in 2011 and 2012 the donut hole will disasppear..at least that is what the letter I received with the check for 250.00. Deb RN Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.