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Medicare Do-nut hole

Boocoop profile image
24 Replies

We are not destitute, nor are we wealthy. My next script for dolflcticide will be over $700. But if I had Medicaid it would be $4.

Go figure. My husband was a police officer for 40+ years; me a nurse for 40+ years......and this is how we are treated?

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Boocoop profile image
Boocoop
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24 Replies
Mollykelly123 profile image
Mollykelly123

Sorry To hear this you and your husband payed your taxes the whole system is Not fare Best wishes

That’s bad. I too am a nurse, retired. Have you talked to your doc about it? Sometimes drug companies have a program to reduce cost. Last oct I went in hole with xarelto and my cardiologist gave me 3 mo of free samples, which was generous. Good luck!

Boocoop profile image
Boocoop in reply to

Hi Hoskins: No samples available right now. My daughter works for a huge Dr’s office and she is also trying to get samples. I may have to become your Bestie, and maybe your doc can help me out! LOL

Seriously M’care Part D is ridiculous. You and I know how to navigate the system....what about all those 80-90 year old patients?

Boocoop profile image
Boocoop in reply toBoocoop

I forgot....when I attempt to get on the special programs, we don’t qualify. We are totally in the crack in the system.

in reply toBoocoop

Yes, better off being dirt poor

in reply toBoocoop

I was a home health nurse for 25 yr before I retired. It was sad, too many times the poor middle class elderly had to choose between food or meds.

irene75359 profile image
irene75359

I am really sorry that you are faced with these considerable bills when you have no choice in the matter. The cost of medical care in the US takes my breath away.

rosyG profile image
rosyG

disgraceful I think--- hope you manage too get meds you need

etheral profile image
etheral

Similar situation. Take Dofetilide, Entresto,Eliquis..Going in and out of the donut hole cost me 5000 dollars every year.

Brizzy5000 profile image
Brizzy5000

You have my sympathy with the cost of medical care in the US, we get some people moan about the NHS over here but my prescription's are free aged over 60 and prior to reaching that age I used to pay £102 per year for unlimited prescription's and of course my ablation op was free as well, so I am so grateful for the NHS.

Wishing you well from the UK

in reply toBrizzy5000

This is what I love about this group. Doesn’t matter what part of the world we each live in, we have empathy for each other! Maybe our a fib group should run the UN, lol

Robodog2 profile image
Robodog2

Do you have a community MedBank in your area? You might want to contact Senior Citizens, Inc and speak with someone who is knowledgeable. They could direct you to services. My late husband had Parkenson's and 3 dementias. I was pretty much left destitute after his medical care and still make too much for help and not enough to afford the medicine. What is the point of having treatment if you can't afford it?

Amcech profile image
Amcech

I'm 18 months away from Medicare and this is my biggest fear! My mess at full price would cost me about $1500 per month. With my co pays it's about $100 per month. I have no idea what Medicare part d will cost or how long I will be in the donut hole!

in reply toAmcech

My part D is only $26/ mo, my doughnut hole hit last oct thru end of yr, xarelto is my high dollar culprit

Amcech profile image
Amcech in reply to

Thanks! And rereading my response to you, sorry for all the typos! Mess was suppose to be meds and my copay is what I'm currently paying with private insurance each month. Just starting to investigate Medicare and the options!

in reply toAmcech

I was reading it the way you intended!! Maybe my brain has autocorrect🤣

Cutie1 profile image
Cutie1 in reply to

30 pounds in uk

EricR profile image
EricR in reply toAmcech

There was a member of my church who is a Medicare supplement policy advisor. She spent about 2 hours with us explaining all the different Medicare supplemental Part D plans and we didn't pay any extra for her services. We chose an inexpensive HMO ($70 per month for both of us with United Healthcare) at a top hospital group. It ended up saving us from having the majority of our retirement money wiped out when I suffered a major heart stoppage three years ago. I do have permanent afib, but with great aftercare, I only it the donut hole in my first year at the cost of $500.

Amcech profile image
Amcech in reply toEricR

Thanks! I'm going to look for someone like that!

Tocqui3ny profile image
Tocqui3ny

I’m a nurse also, too young to retire, don’t qualify for Medicaid or SSI. Have ordered my meds from Canada, it’s Multaq. $900/mo in US, $556 for 3 mo. In Canada. It’s a little break...

I fell into the donut hole last year with my Xarelto prescription. When I went to refill it in December 2018 I had to pay $416 vs the $105 that I paid for the previous prescriptions. It also drove up the cost of my Flecainide from $7.47 to $146.00! On that one I went back to the doctor, got a new prescription, went to a different pharmacy and used a GoodRX coupon so the insurance would know nothing about it.

I quit the Xarelto a month ago and have not felt this good in a long time. I also have not had any AFib episodes at all, even after eating a high carb meal last week, which in the past would have triggered an episode. My family was yelling at me all through dinner to watch what I was eating and my oldest son even called the next day to see if I "flipped out."

I am however quite upset as I received a letter from my cardiologist two days ago that he is retiring on June 20. There are so few around here willing to work with you on meds, holistic approaches and the Pill in the Pocket approach. Everyone else seems to be interventional and constantly wants to run tests. I moved my appointment up a week so that I will see him and get my prescription and lots of refills before he leaves. This is the second one in the practice to retire in 2 years. The letter blamed it squarely on Obamacare and Medicare regulations and payments. At their age they just did not wish to have to fool with it anymore.

in reply to

Cant say I blame the docs for getting out. Our group of cardiologists, 4 of the 5 are in the age 60 range, when they decide to retire, it will b a big deal as they are the only ones around here.

Gilli54 profile image
Gilli54

So fortunate to live in the Uk and have had free meds since my thyroid was removed 15 years ago. And now over 60 so would be free anyway. And our prescription charges are within the reach of most people or you can have the yearly pay in advance. I read about the terrible issues for insulin dependent diabetics in the US. The cost is prohibitive for an essential medication. My father was diabetic from the age of 26 and was able to obtain free insulin all his life. I am so sorry for the costs you are facing. It seems bizarre for a country such as the US to have a system that causes such anguish to ill people. 🙁

I empathise with you.

Cutie1 profile image
Cutie1

I would start a campaign with Trump asking for better prices and free for certain people

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