Talk of The Villages Florida

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-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Help with picking the right plan (https://www.talkofthevillages.com/forums/medical-health-discussion-94/help-picking-right-plan-44192/)

Gretch298 10-24-2011 08:39 PM

Help with picking the right plan
 
We are ready for our move and will be there soon. Just a few loose ends to get tied up..Now my issue is my husband has Multiple Myeloma for which he takes the medication called Revlimid. Finding a Medicare suppliment to cover this drug has scared me to death. He will retire in a matter of 2 months and I have about lost my mind looking at all the different supplements for Medicare. I could use some help if anyone takes this medication and has a reasonable co-pay. Also anyone with Multiple Myeloma please feel free to share. We are blessed that "Rich" is in remission currently. This drug is very expensive and way beyond our means. Thanks to all.

VillagesFlorida 10-24-2011 09:41 PM

I am on a Medicare Advantage Plan and it looks like your co-pay on this plan would be 33% of the cost of that drug. I have no idea how expensive it is, just that it is in the highest tier, tier 4.

You talked about a "supplement" and that is different from an advantage plan. I think if I were you I might pick up the phone and call companies that offer the kind of insurance you want. Ask them how much this drug will cost you. I DO know that with many of the advantage plans you can ask them to put your drug in a lower tier. It wouldn't hurt to try! Also, using the mail order pharmacy through your insurance plan will often result in cost savings to you. It sounds like this would be a "90-day supply" medication and it IS offered through Medco, the mail order pharmacy that Preferred Care Partners uses. Good luck.

Gretch298 10-24-2011 10:58 PM

33 percent of 8000 is a monthly bill I can"t afford.... Thanks for the info

swrinfla 10-25-2011 06:25 PM

Gretch:

The more I become involved with Villagers hoping to find more reasonably-priced medications, the more I become frustrated!

Sadly, you must do your own research - and lots of it! True, the companies trying to sell you coverage claim to have done the research. However, it has become a case where your own research is more likely to provide accurate suggestions as to what to do!

Good Luck!

SWR
:beer3:

aljetmet 10-25-2011 06:44 PM

Hi try aarpmedicarecomplete.com

Think the annual cost is about $11K for the customer. I cannot believe the cost of this drug. over $130K, wowie!

My wife has MS and her drug cost only $44K

I highly recommend that you call the drug manufacturer.
My wife did and she got the drug free for 2011! and it seems she will get it for free in 2012!! Her cost would be about $6/$7K if we had to pay.

She is on SS disability and thus qualifies for medicare being under 65

Good Luck!!

2BNTV 10-26-2011 09:54 AM

aljetmet:

Great suggestion to call the manufacture as I remember a commercial that used to be on the radio where someone said they did this and the drug was provided for free.

Good luck Gretch928 in finding something.

chachacha 10-28-2011 07:00 PM

Aarp vs amac
 
i don't know if this will help your situation but there is another senior organization besides AARP which offers supplemental insurance. i am a member and plan to look into the possibilities...this organization is called AMAC Association of Mature American Citizens and it has a conservative bent for those of us who are not happy about AARP supporting Obamacare....to join call 800-255-4199 or for insurance information call 800-334-9330. they have a local office on 441.

wendyquat 10-28-2011 08:58 PM

Quote:

Originally Posted by chachacha (Post 411932)
i don't know if this will help your situation but there is another senior organization besides AARP which offers supplemental insurance. i am a member and plan to look into the possibilities...this organization is called AMAC Association of Mature American Citizens and it has a conservative bent for those of us who are not happy about AARP supporting Obamacare....to join call 800-255-4199 or for insurance information call 800-334-9330. they have a local office on 441.

Thanks for this info chachacha. I had not heard of it. Do you know who underwrites their health plans?

chachacha 11-02-2011 10:51 PM

Humana
 
sorry for the delay in replying...i called and was told that their plans are underwritten by Humana....have requested info to compare with my current plan....

chevy 05-14-2013 07:18 PM

multiple myeloma
 
Quote:

Originally Posted by Gretch298 (Post 410076)
We are ready for our move and will be there soon. Just a few loose ends to get tied up..Now my issue is my husband has Multiple Myeloma for which he takes the medication called Revlimid. Finding a Medicare suppliment to cover this drug has scared me to death. He will retire in a matter of 2 months and I have about lost my mind looking at all the different supplements for Medicare. I could use some help if anyone takes this medication and has a reasonable co-pay. Also anyone with Multiple Myeloma please feel free to share. We are blessed that "Rich" is in remission currently. This drug is very expensive and way beyond our means. Thanks to all.

I was diagnosed in April with MM . I am on Revlimid for past 2 months. go to the Florida cancer center and i am very pleased .today i received IV of zometa (bone stengther) I get some results in June:bigbow::bigbow:

twinklesweep 05-14-2013 09:32 PM

A bit of a tangent
 
Quote:

Originally Posted by chachacha (Post 411932)
i don't know if this will help your situation but there is another senior organization besides AARP which offers supplemental insurance. i am a member and plan to look into the possibilities...this organization is called AMAC Association of Mature American Citizens and it has a conservative bent for those of us who are not happy about AARP supporting Obamacare....to join call 800-255-4199 or for insurance information call 800-334-9330. they have a local office on 441.

I have seen this view intimated or even outright stated in other posts on other threads, and I don't understand it. I ask this question from a social point of view relating to the literal health of Americans: What is the objection to ALL Americans having access to health care, as is true in virtually every other first world developed country, as opposed to only those who are privileged enough to have their access to health care based on their specific past or present employment or their age? I just don't get it. Help me with this question, please.

jimmy D 05-15-2013 05:33 PM

The only dif in Supplement plans are the cost of the coverage from each company. You need to check the Drugs, Part D of medicare not the supplement

gomoho 05-15-2013 06:01 PM

Quote:

Originally Posted by twinklesweep (Post 676480)
I have seen this view intimated or even outright stated in other posts on other threads, and I don't understand it. I ask this question from a social point of view relating to the literal health of Americans: What is the objection to ALL Americans having access to health care, as is true in virtually every other first world developed country, as opposed to only those who are privileged enough to have their access to health care based on their specific past or present employment or their age? I just don't get it. Help me with this question, please.

I don't believe anyone has a problem with extending health care, free housing, food or anything else youR heart desires. The question is "WHO IS GOING TO PAY FOR IT"?

janmcn 05-15-2013 07:30 PM

Quote:

Originally Posted by gomoho (Post 676892)
I don't believe anyone has a problem with extending health care, free housing, food or anything else youR heart desires. The question is "WHO IS GOING TO PAY FOR IT"?

Taxpayers already pay for it, but the Florida Legislature has decided to pass along 55 billion dollars in federal tax dollars to other states by not expanding medicaid in Florida. So for the next ten years, 55 billion of your tax dollars will be going to recipients in other states, while Florida hospitals are supposed to treat these people for nothing.

And BTW, the same legislature that rejected 55 billion dollars in federal money gets their own health care coverage for $8.25 per month.

striveforhealth 05-15-2013 07:34 PM

Hi - Medicare Counselors at the Florida SHINE program may be able to help you look at options for plans and/or they may know of programs that offer assistance for that medication. SHINE - Home Best of luck!


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