Naga (he/him)

Argh.

Having to delay getting one of my key meds--that manages my mast cell disease--by two days until some income comes in.

The coinsurance is still $180.

This is a generic on my insurance's formulary!

On next year's plan, it's not even going to be on the formulary, so no coverage at all.

Also, as a generic, coupons are harder to come by. And manufacturer programs, as well, though they generally don't apply to this situation. (They help if you don't have insurance at all, but not if you have private insurance that simply doesn't cover it.)

So I can look forward to bonus hot flashes...

#MCAS

Nov 12 at 2:45pmWeb
Show threadTom RiniNov 12
@naga That all reminds me, since you mentioned medicare recently, did you / Jalan see the Last Week Tonight talking about how awful medicare advantage really is?
Show threadNaga (he/him)Nov 12

@trini No, though I heard about it.

I plan to avoid it--traditional Medicare + Medigap + Part D.

With good versions of the latter two, premiums will be high (though probably not noticeably higher than a shitty "Gold" ACA plan), but cash costs will be next to nothing.

Apparently not all states offer Medigap and/or Part D to people under 65, but fortunately NC does.

But thank you!

Show threadNaga (he/him)Nov 15

@trini I encountered a potential problem with this plan.

Depending on what Congress does, Medicare Advantage may be the only way for me to get telehealth coverage...

(Medicare covering telehealth was extended through January 30 in the just-passed spending bill, but is scheduled to lapse then.)

Show threadTom RiniNov 15
@naga That's hard, yeah. I just remember one of the takeaways about "Medicare Advantage" was that is' only not-bad if you're healthy and don't really need much in the way of healthcare.
Show threadNaga (he/him)Nov 15

@trini yeah. Hopefully the telehealth issue will get fixed, but who knows?

I was dismayed to see that it's not prominent on AARP's page, which is where I'd expect to see the biggest push.