I can't seem to find out if anyone pays for her diabetic supplies. Each part of Medicare tells me another part is responsible for it. The pharmacy has all of her insurance profile on file, and I end up paying out of pocket for her insulin pen needles. Each part of Medicare tells me another part is responsible. So far it seems like I am the only one responsible.
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And those insulin pens are so expensive!
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I hope this helps. If not and if you're still confused and needing help feel free to contact me. Good luck.
It use to be many places, like Walgreens, would not give you a with insurance price in an RX unless they had written RX in their hand and ran it through as if filing it. Then you had to have them reverse the process to go to the next place.
This craziness must have angered the wrong Congressman or donor, because they made a law. All the pharmacy chains had to change their system, so you can get Your price, over the phone!
Also, if you enter the Medicare Part D website, just enter the diabetic supplies for your LO. You will have to play around with Pharmacy choices...they only look at 2or 3 at a time last I looked. If you scroll down and expand, it will give you actually cost by month.
Find best few plans then add the rest of the drugs, and recheck. Good news is you can do this from home, very early or late is best. Internet & site less bogged down.
Who ever thought having to get online and research this stuff during Black Friday - Cyber Monday...Cyber Holiday week is a fool!!! Note: Does LO need to use a particular brand? Many fomualries will cover only one brand of drugs commonly needed by SRs.
Example: Osteoporosis RX...I leave it off the list to check plans, or start with just brand A, then change to Brand B, this is where a printer, highlighter, and expanded printout really help. Almost No Plans covered both brands. For this drug alternating brands from time to time is good.
Also some Rx are only on most expensive plans, but since I Must take expensive brand due to interactions or other medical conditions, I get Dr. to write Exception to Formulary! If there is valid medical reason, plans will approve. If it fails first time, work with Dr to make sure medical necessity is clear....or the RN who actually drafts the notes!
If income is tight you can then/also ask for exception to Tier, making Tier 4 or 5 drug drop to lowest cost. ( Hope she is not as broke as me!)
My dad paid alot for his scripts on a Medicare Advantage plan. Now he pays very little, we do shop for the best negotiated price, not all are the same, ie 20 at CVS and 25 at Walgreens. Doesn't make any sense but it is a reality.