Amputee Treatment Center Forum

INSURANCE COVERAGE & ISSUES => Insurance Coverage => Topic started by: pegleg jack on February 07, 2010, 10:06:56 AM

Title: cost of medication
Post by: pegleg jack on February 07, 2010, 10:06:56 AM
just had one of my meds refiled and man did i get a shock.

THE insurance company and drug companies along with the pharmacy i wound up with a 200% increase in co-payment on it, 90 days ago i payed 12.00 for a ninty day supply well yesterday i had to pay 36 dollars for the same 90 day supply.

This way there is gonna be a lot more people hit the donut hole faster than before, and they havent even pass that dang health care bill on us yet, and they are allready raising the price on our drugs. WHAT A BUNCH OF GREEDY A--H---S
Title: Re: cost of medication
Post by: metdrs on February 09, 2010, 04:23:08 PM
Pegleg,
I wish that it was the copay that is how they measure reaching the donut hole. My understanding is that they use the retail price to measure when you reach $2,500 dollars. Better check with your part "D" drug program

Dave in NE Pa
Title: Re: cost of medication
Post by: pegleg jack on February 09, 2010, 05:51:43 PM
metdrs, i get a statement from my insurance company every time i get a new or refile one of my meds stating how much i have left before i hit the donut hole, just hope that this dosent happen to my ZETIA, cause i pay out of pocket 114.00 for it for a 90 day supply if it goes to 342.oo then i cannot afford to get it. and have a feeling the my rat posin will be the same as the first on cause i only payed 9.00 for a 90 day supply on it. havent checked yet but feel that WALLY WORLD has dropped the 4.00 per perschription deal they had going.
Title: Re: cost of medication
Post by: ann on February 15, 2010, 09:00:14 AM
JACK, I think its what the insurance co. pays on each medication that get us to the Donut Hole.  I hate that!!
Title: Re: cost of medication
Post by: pegleg jack on March 02, 2010, 04:22:26 PM
found out what happened, the insuance company kick my meds up into the next tier level so that they would get more money for them that is why my co pays went up, and they went up on all of the ones i am taking, so it wasnt WALLY WORLD'S fault,
Title: Re: cost of medication
Post by: ann on March 05, 2010, 10:06:01 PM
Pegleg, are you sure they didn't charge you a co-pay {or whatever it's called} for each 30 day refill?  They do me on any scripts I am having refilled {if I want 3 months}....otherwise its the same...$5.00

I will tell you one thing if my name was Obama, I would be so ashamed of what I was doing to the people of the US.  You talk about being sleezy & underhanded...paying everyone off to get his way with HIS own brand of a health bill.  If he pays off enough people & gets it passed.....there will be such an uprising.   Sorry, I just couldn't hold it in any longer...watched too much TV today and not only FOX....these are democrates that are furious with him.
 :)
Title: Re: cost of medication
Post by: Dick Stevens on March 07, 2010, 02:48:42 AM
Hate to be the bearer of bad news, but:  They add up BOTH what YOU pay out-of-pocket AND what the insurance pays - for ALL your prescription drugs, to determine when you reach the Donut Hole.

And, the calculation begins over again each calendar year.

Each time the pharmacy raises the cost of a drug, it speeds you quicker toward the Donut Hole.

You've heard of "Murphy's Law".  Each year, I reach the Donut Hole rather early ...... but never quite reach the other side of the Donut Hole where they would begin paying again.
Title: Re: cost of medication
Post by: Dick Stevens on March 07, 2010, 03:08:37 AM
Ann:

You may want to bash Obama's Healthcare Plan.  And, the more it gets watered down by the opposition, the less I like it.

But, if the Republicans had their way, there would be NO Healthcare Reform......just the Status Quo with the ever-soaring healthcare costs.

They claim they have a better plan.  If so, where is it.  So far the only alternative plan I've seen is to say NO.  In all the years they had control of the White House and the Congress, they produced no healthcare reform legislation.  What makes you think they'd produce any now?

Traditionally, the GOP has been the Party of Big Business.  Big Pharma and Big Insurance and Big Medicine ARE Big Business.  They pay the GOP Big Bucks to protect their Big Profits.  And, so far, they've done a great job doing just that.

So....if you're happy with soaring healthcare costs, and soaring drug costs, just leave things the way they are ..  and "enjoy" the highest costs of healthcare anywhere in the Western World.
Title: Re: cost of medication
Post by: ann on March 07, 2010, 05:15:48 PM
Dick,

And the democratic party spends, spends, spends...these are democrates that are talking aginst this health care policy.  They are socking it to the seniors @ every level.  And where is his closure of the donut hole...{no mention or it}. 

If you want your check going to nothing ~  $ 0  ~   due to increased taxes, then keep backing Obama....the way to pay for this has to come from somewhere....guess.....yep, middle class....  BTW the congress, senate & president don't even pay for their insurance, do they?   why?  I didn't get a cost of living increase on soc. security ~ did you?  The upper class got theirs.  Just seems to be something wrong here.  Have a great day  :)
Title: Re: cost of medication
Post by: Dick Stevens on March 10, 2010, 02:47:38 PM
Mornin' Ann:

Yep. Plenty of inequities to go around.  No debating that.  But, guess what?  They were NOT invented by the Obama Administration.  They've been around for many years.

Yeah, People like to chant "Democrats = Spend, spend."  Right?  But, as I recall, Clinton (Democrat) finished his term in office with a Budget Surplus.  It was Bush II (Republican) who came into office and immediately threw us into a Deficit Tailspin.   Yes, the country is MORE BROKE now than when Bush entered office.

A few of the factors that contribute to that:

1. Initiating the unwarranted Oil War in Iraq under false pretenses.

2. The mammoth Tax Breaks for the Richest 1%.

3. The bungled War in Afganistan (after all these years, Bin Laden is STILL on the loose!)

I will agree that the massive Bail-Out scheme that was begun under Bush and continued under Obama has largely missed the mark.  I believe the billions were given to the wrong people.  More on that another time.

Back to the Healthcare Issue.  I still believe that SOMETHING has to be done NOW.  The Republicans' answer of doing NOTHING is NOT the answer!  (Unless, of course, if you're an Insurance Company fat-cat executive.)
Title: Re: cost of medication
Post by: ann on May 27, 2010, 03:24:47 PM

I don't know about the rest of you, but I hit the BIG HOLE today... :(...really is very depressing.  I will tell you one thing he is no different than the rest of the politicians...administration open to the voters.....bull sh-t...give me a break.      Nobody can spend their way out of this mess.  And no it isn't all George Bushs fault.

I had better stop talking...I am so furious right now.
Title: Re: cost of medication
Post by: herb on May 30, 2010, 11:14:43 AM
Hi Ann - sorry to hear about the expensive predicament you are in. My opinion is that most doctors greatly over prescribe drugs. I am happy that I just got through an infected blister on my residual leg  that looked like an erupting volcano without antibiotics by soaking in high concentrations of epsom salts. I look for alternatives whenever possible. I always read about the potential side effects of the drugs my gp  prescribes and often decide that the risks are not acceptable. I look for dietary and herbal alternatives. So far this year I haven't spent 1 penny at the pharmacy but have spent a few hundred on various supplements. I am 64 and have been mostly vegetarian for 45 years and think that helps a lot although I do eat some seafood. Be well, herb
Title: Re: cost of medication
Post by: ann on May 30, 2010, 11:31:31 AM

Thanks Herb.  You stay well also.  I take it you never eat a good juicy steak....eh...I don't eat that much red meat....mostly chicken, vegies & milk and cheeses.  Have to admit I love whole wheat bread.   We don't have much room for a garden; this year we are doing a raised garden {don't laugh} very small.   Something like 8 by 10.   Beans, tomatos, peppers cucumbers.

Have a great memorial day!!