Looking back

While sitting and using heat packs yesterday, decided to go through the picture folder to remove extras.  There was an old file that transferred from the dead laptop!  Thousands of photos.  Many of Nitzy when he was a kitten with dad staying close by. 

 

 

 

Budman was a good dad.

 

I also found hundreds of my old labels.  I had deleted them but this old file was unknown to me.  Holy tuxedo cat.  I was surprised at how many there were and some were never even used.  But without Pat Catan's, no more boxes to be had.

 

 

Then the mail came which turned my mood hotter than my packs.  All the Medicare Advantage plans and Plan D mandatory drug coverage plans, have now moved their higher tiers to a percentage co-pay rather than a set rate.  My Eliquis was a $75 a month co-pay before, now it will be 38% of $500 per month (190.00).  Restasis will be 38% of $598 (227.24).  If you use a GoodRx coupon, it doesn't involve your insurance, so the higher pharmacy price will be used as a base price for the percentage. So anyone with higher priced drugs that were in tiers 3, 4 , or 5, will be paying so much more in 2020 that many will be unaffordable.  Enbrel and Humira are $4000-$5000 a MONTH and will now be charged to patients at 38-50% co-pay, if covered at all.  Since 2014, those two drugs have increased 100% and will continue to climb.  Medication costs came up over the friends weekend and I found out that two pay nothing for Eliquis, another nothing for Enbrel.  One is on the retired federal worker plan and two are retired PA teachers.  So far, I have not heard any candidates asked if their Medicare for all plans will include ALL, including government workers and all politicians.  Do you think it will?  Absolutely not. Patient Assistance programs vary in their requirements, yet our income at a fraction of my friend's state pension and SS was denied, she was accepted.

 

I hope I will never need the Enbrel or Humira, but many seniors do.  If you're on Medicare, it may be a good idea to check with a benefits manager to see what is changing in your plan and if there is another better suited.  But if you are on a biologic or specialty drug and had co-pays this year, it looks like you will be paying a percentage next year.

 

Thanks for listening!!

I am pretty hot about this issue.  Better settle down because I plan to stitch this evening and already have a thread tension problem!

 

***************************