Re: I have a Question About the Donut Hole

[Guest guest]



Kathy....no, I haven't tried that particular inquiry, although our pharmacy knows me very well and they know the hard time I have with these expensive drugs. Surely if they knew anything they would have said so. I've contacted Cymbalta but because I have an RX plan they won't help. (Only for people with no help at all)

Thanks tho'

MamaSher; 71, IPF 3-2006, OR.Don't fret about tomorrow, God is already there!

I have a Question About the "Donut Hole"

Hi! I have a question that I need to ask about "The Donut Hole".

When Medicare is the primary insurance, what supplementary insurance does one get to help to take care of medication costs when one has entered "The Donut Hole" ????

Toodles

Jane UIP/IPF 12/1998 Dalton, Georgia aka pianolady_musicgirl

[Guest guest]

Have you contacted the mother ship-the actual pharmaceutical company. I'd get pushy if I had to. Bureaucracy is ridiculous.Kathy

From: Sher Bauman <bofus6 (AT) verizon (DOT) net>Subject: Re: I have a Question About the "Donut Hole"To: Breathe-Support@ yahoogroups. comDate: Sunday, November 8, 2009, 12:36 PM

Hi Jane...I saw your picture when you were in TN. All the pictures show having a good time.

Donut Hole: I carry Regence BCBS Med-Advantage for a supplemental. They pay a percentage of all meds. Some are only $4, Some $10 for the generic. The 'major' meds, such as Cymbalta cost so much that even my co-pay is $40! Every month. I have many other meds as well and when my co pays reach a certain amount...I can't remember without digging out my policy...then I have to start paying 100% for ALL meds. Thus I'm in the 'donut hole'. Depending on how many months are left before a new year, I pay out of pocket. 2009 I hit the hole in Aug!

I personally am not aware of any ADDITIONAL insurance that will cover when you reach the max and have to pay 100%.

Other insurance may be different. There is Secure Horizon, Health Net and others, they differ a bit.

Call your carrier and ask questions. Usually they are good to give info. Or even call Medicare.

If you find something that takes over when you hit the hole let me know! lol

MamaSher; 71, IPF 3-2006, OR.Don't fret about tomorrow, God is already there!

I have a Question About the "Donut Hole"

Hi! I have a question that I need to ask about "The Donut Hole".

When Medicare is the primary insurance, what supplementary insurance does one get to help to take care of medication costs when one has entered "The Donut Hole" ????

Toodles

Jane UIP/IPF 12/1998 Dalton, Georgia aka pianolady_musicgirl