- 1,745
Client has to drop individual coverage now that they will soon have Medicare. This is the self injectible unit from pharmacies, not infusion at a facility.
No more copay card for "commericial" insurance once on Medicare.
There are 2 Medicare insurers in the area that will consider the drug, but require prior authorization, no guarantee of coverage, for this $6000 a month drug. 2 months pay, about $3500 OOP for client then catastrophic for the rest of the year, $0 oop.
No more copay card for "commericial" insurance once on Medicare.
There are 2 Medicare insurers in the area that will consider the drug, but require prior authorization, no guarantee of coverage, for this $6000 a month drug. 2 months pay, about $3500 OOP for client then catastrophic for the rest of the year, $0 oop.