RSS Feed for This PostCurrent Article

Obamacare Screws Low-Income Seniors and Disabled

NEWSFLASH: Did you know that Obama and Democrats are lying about one of the benefits of Obamacare that they’re touting? Did you know that low-income seniors and disabled people will not receive the $250 prescription drug rebate?

The only people who will get that $250 are seniors and disabled with higher incomes who aren’t already eligible for a reduction in their co-pays.

Yes, low-income seniors and disabled people do get an income-based reduction in their monthly Plan D premiums and co-pays. But, the reduction is so small that most of them still have to pay additional amounts, anywhere from $40 to $350 per month (or more).

That is because some drugs are not covered in ANY of the insurance companies’ drug plans. And it is because some drugs, especially newer medications, are expensive and therefore their co-pays are higher.

Example: I have a neighbor who must pay the full price for both of her anxiety medications because no insurance company covers either drug. She suffers from clinical depression and takes one drug for depression that helps but isn’t enough. She was given samples of Abilify, a drug you’ve probably seen advertised on TV for depression. Abilify proved to be a miracle drug for her — she felt so much more positive and energetic. But, when the samples ran out and she got a prescription for Abilify from her doctor, she was stunned to find out that the co-pay is $85, even with the low-income reduction.

No, there is no substitute drug for Abilify. It is a new drug that, actually, was originally designed for people with schizophrenia but was discovered, accidentally, to be very helpful for people suffering from depression, not schizophrenia.

No, she cannot get assistance from the drug company that produces Abilify since she has insurance. Only people without any insurance can get help from drug companies.

That $250 would have gotten her three months worth of Abilify. Not enough for the year. But at least she would have had three good months.

She also can’t get any help from her state’s MedicAid program because she receives just $40 too much from Social Security to be eligible for state help.

So, she must go without Abilify, a drug that helped her moods and ability to get along better in life. It is truly sad, and I feel so badly for her.

Back to my main point: Obama and the Democrats are NOT truthful in their descriptions of the $250 rebate for drugs. And, once again, it is the people least able to buy prescriptions who are left out in the cold.

Just thought you should know, and spread the word to your friends.

Did the Democrats intentionally leave out low-income seniors and the disabled? I can’t believe that they would. But in their haste to get that damn 2,000-plus-page bill passed, a lot of important considerations were not addressed. In short, the bill was written very sloppily.

Adding to the pain for my neighbor and others like her, she won’t get a cost-of-living raise from Social Security next year, just as she didn’t get a COLA this year. Obama has proposed a $250 one-time check for all who receive Social Security, and purportedly he wants the checks issued before Election Day. Yes, it’s a tool to get Social Security recipients to vote for Democrats. But, it is also money that is desperately needed by people such as my neighbor. Whether or not it helps Obama and Democrats, my neighbor deserves that money since she certainly got screwed by Obamacare.

She is now very worried what else is going to happen to her Medicare coverage and Social Security payments, thanks to that badly-written health care bill. I don’t blame her for worrying.

  • Retired

    Good.  Obama and the Democratic Party are about society being properly managed by intellectually qualified liberal elite cadres.  They already “own” blacks, the unions, the poor and the elderly, all of whom are too ignorant to govern themselves or they wouldn’t be black, an uneducated and poorly-mannered working class unionist, poor or elderly.  As Barbara Boxer has pointed out in her Carly Fiorina attack ads, when you own somebody, you have the right to screw them for the best interests of the organization to whom you must answer.  In the case of the Democrats, this is fellow intelectually qualified liberal elite cadres. So piss off!

  • Bronwyn

    So people who are unable to work should just “piss off”? Lovely.  Would you just ask Congress to pass a bill offering euthanasia so that they can all get out of YOUR country?

  • kenoshamarge

    I think this bill that was ‘touted” as being the best thing since sliced bread is a disaster because no one knew what was in it or what the consequences would be.

    What is that old saw about the road to hell being paved with good intentions?  I actually believe that many of the Dems that voted for it thought it was a good thing. I don’t believe they are all “evil”, although I certainly believe that playing politics with people’s health is evil.

    It seems that more and more of what we were told would happen under Oblahblahcare is wrong or has some disastrous unintended consequences.

    The problem with “good intentions” is that if you aren’t well informed, and don’t take the time or energy to actually read the bills you vote on, you get unintended consequences.

    Not knowing what you are voting for or understanding laws that you are making is evil. And it has to stop.

    I would have thought that the “health” bill was devised for people like the poor lady you discuss in your piece. Disgraceful that with all the money they will spend they cannot or will not provide a better quality of life for people like her. What is poor enough if you can’t afford your medication?

  • Crackerjack -Obamastahn Rebel Resistance

    DUUUUHHHHHHHHHHHH told you so.   

  • Bronwyn

    I’m thinking, for example, of another neighbor who is so badly crippled and in so much pain that he can only make it to his car about once a day and otherwise has to sit in a recliner chair because it eases some of his agony.

    He worked HARD for so long that, his wife told me, he pushed his body too far, but he was terrified of leaving his family without his income.  He just kept going until his body was nearly finished off.  Now, his wife works the best she can — she does care for elderly people — and he gets his Social Security Disability and they try to stretch it to care for them and their two children.

    They are lovely, giving people who make great neighbors.  I’ve come to really enjoy them.  Their door is always open to me.  They have next to nothing. Their home is messy.  But the spirit in their home is wonderful and infectious.  If only he could work — and he feels so let down that he can’t anymore.  He’s trying to learn another trade but the unemployment here is very high and almost every job is minimum wage and involves physical abilities that he no longer has.  It is very hard.  Further, if he walked in to an interview with his obvious disabilities, NO EMPLOYER would want to hire him because they wouldn’t want him on their employee insurance plan.

  • Crackerjack -Obamastahn Rebel Resistance

    Then when people who cant afford their pych meds go out and mass murder people at mcdonalds they will scratch their heads and wonder why.      DUUHHHHHHHHHHH

  • Bronwyn

    “I would have thought that the “health” bill was devised for people like the poor lady you discuss in your piece.”

    EXACTLY!  And, who knows, if she were able to stay on Abilify consistently, she might even be able to work, at least part time.  That’s because, along with her anxiety and clinical depression, she suffers from agoraphobia and social anxiety disorder, which all make work settings very, very stressful for her. In short, she can’t function well in work settings.

    Obamacare should have helped people like her FIRST — for one thing, she’s young enough to be able to get some work if she has the right medications.  What a mess of a bill that is.

  • helenk

    f it had been good for America, backtrack would not have wanted it All it does is so anger the people that they do not look at what else is going on.
    Do not pay attention to the forclosure mess, you have to be busy trying to get the medicine you need.
    Do not pay attention to the wall street bailout, your medicine might run out before you have the money to pay for a refill.
    Do not pay attention to the insurance rates going up while covering less. You might have to cut your medicine in half to make it last
    If you are elderly and need medicine, why should you get it. You no longer contribute to the tax base that congress can spend

    If you complain you are just to stupid to understand what is good for you. backtrack and his minions are just the smartest thing that ever happened to this country.Look how they can just take over businesses and run them with no experience,

    WOMEN WITH INTELLIGENCE AND EXPERIENCE,MEN WHO SUPPORT THEM AND COUNTRY BEFORE PARTY ALWAYS

    PUMAS,BUBBAS,EQUALISTS AND THOSE CHATTERING PEOPLE RULE

  • elaine

    Brownwyn, Do you think you may have over reacted to Retired’s post? I thought he did a good job of suming up the real attitude behind ObamaCare.

    Has your neighbor considered contacting the organization that Montell Williams is a spokesperson for? Wish I could remember its name. They offer help to people who can’t afford their perscriptions.  Also I think sometimes if you contact the Pharma Co directly they may help. 

  • Bronwyn

    Thanks, Elaine! I re-read his comment and realize that I did completely miss his point.  I took out my comment.

    Montell’s group, I’m fairly sure, just works with the Big Pharma companies, and only people without any insurance can get help from Montell’s group.  I will nevertheless contact them, but I bet I’m right.  Sigh.  (I can see why the drug companies only help those without insurance because there are millions of them already, without adding the people with high co-pays.)

  • greenlantern

    It didn’t take so much intelligence or even reading the bill to know where this was going. Covering more people for less money?

    People who say we cannot/should not provide for those who can’t do this for themselves are assholes not conservatives. It also does not mean that we need to provide the most expensive treatment for something when there are other, effective and more cost-effective treatments/drugs available. But these newer methods still need to be made available to people so they, the corporation, or some charity can purchase it if possible.

  • elaine

    google: Montell Williams+perscription drug help
     also

    phizerhelpful answers.com   & pparx.org/

  • Kim

    Bronwyn, drug reps give lots of sample prescription meds to doctors.  Most docs have a closet full of them.  She should ask her doctor for more samples and tell him/her that she just can’t afford the co-pay.  I’ve had to do this before with a doctor.  He gave me samples regularly instead of me having to pay for the meds not covered by my Medicare Part D prescription plan.

  • EllenD

    Here’s another unintended consequence -
    Had a meeting with the company’s payroll company and they are using the healthcare bill to frighten them into buying extra insurance services through them.
    They start off their scripted line with – “Do you know what is in the new healthcare bill and when most people say no they have a number of gloomy pronouncements.
    Him: “I guess you know that next year you have to make an extra box in your W2s.”
    Me: “They pushed that requirement back a year.”
    Him: “Really? I haven’t been keeping up with it.” And you might want to take out long term care now because that is also in the bill.”
    Me: Yeah? What year is that supposed to come into effect?”
    Him (reluctantly) “2013″.
    Me (showing him the door) “I don’t see any need for immediate action on anything. Don’t call me, I’ll call you.”

    It’s a good time for selling scare tactics.

  • candymarl red bone cracker

    Here in southern Georgia doctors have been told they can no longer give out free samples.  How do I know? My doctor’s office told me so.  Fortunately I have health insurance ( 2 forms) that I don’t mind paying for. Even so it’s a fight to the finish to get your meds with or without co-pay.

    As I mentioned before my husband received a letter telling him he has to pay 138.00 per month to receive his “free” benefits under the new Obamacare plan.  But let’s not talk about that.

  • cookiegramma

    none of what you discuss here is any surprise to me. My brother in law had a heart lung problem that he was cleared for a transplant to fix. Before the surgury could be performed the doctors put him on viagra to help. Unemployed and waiting for his medicare approval to kick in in the three month waiting period, his perscription was disapproved as experimental by the state under this new program. Yes if you noticed I did say he had a problem. He passed away suddenly when the condition could not be controlled,

  • candymarl red bone cracker

    I am so sorry Cookiegrandma.   Your brother deserved better than that.  Prayers to you and your family.

  • Bronwyn

    We both go to the same medical clinic.  They do not give out any samples to anyone.  I don’t know why, but that’s the fact. (Someday, I’ll quiz my own doc about it because, as you say, they do get samples.  Perhaps they give all their samples to the low-income health clinic? Just a guess.)

    Only her mental health service can give her samples, but they refuse to give her any more, so she can only get Abilify via a prescription.

  • Bronwyn

    I am so very sorry for you.  And I am also very angry.  Dear god.  Those people have blood on their hands.  

    you write very factually about  this incident, but inside you must be furious at times when you think about it.

  • AC

    Sliced bread was also a epicurian disaster.

  • Rabble Rouser Rev. Amy

    How very sad – my condolences on your loss, cookiegramms.  That is just terrible.

    As is the story of your neighbor, BH.  That is just outrageous that people are being tricked into thinking that all of the people on Medicare are getting these checks, but more importantly, that the people who NEED the money are not getting it!!  This is a very disturbing story.  I hate it for your neighbor (both of them).  People should not be forced into the decision to eat or have their meds.  Wow.

  • Breeze

    -  
     
     
    McConnell: ‘GOP Leadership  
    United to Repeal Obamacare’
     
       
    Human Events,  
    by Connie Hair     
     
    Original Article  
     
    10/22/2010  
     
    Much back and forth has gone on this week over whether Republicans are committed to the repeal of the government takeover of health care known as Obamacare. The so-called mainstream media has gotten into the act in an effort to suppress Republican voter turnout. Having a great deal invested in the Obama façade they created, the media is once again in full protect mode trying to help Democrats avoid an out-and-out slaughter on Nov. 2.

     The only way to suppress GOP turnout is if disheartened voters believe their efforts ….

  • PssttCmere

    Stale, moldy sliced bread….the electorate was duped, pure and simple.

    All that time and money was invested in this obamanation and not a job in sight.  It is beyond my comprehension how anyone can still support these buffoons…

    “Say What You Will…It Feels So Good”

  • Docelder

    Also the $250 rebate check only goes to seniors who have a medicare prescription drug plan, and who have entered the coverage gap and that don’t already have some extra help. In other words… yes the poorest of the poor will not get the rebate check at all because to get it you have to be 100% responsible for all the cost of your drugs after entering the coverage gap. The rebate check and the news release of the news of it I think was timed to coincide with elections… as evidence of Obama’s love for seniors, although many can’t actually get it. Also for 2011, there will be no rebate check at all but seniors in the coverage gap will get the brand name drugs at 50% off price once only after the initial $2830 of drug insurance is already exhausted and they have to pay for the drugs  out of pocket. Generics will conversely be just 7% off after reaching the gap in 2011. So yes, I see this as a mechanism just to keep seniors from switching off the brand names and onto generics and not intended to actually help them in the longer term.

  • Katmoon

    It is even uglier, many who are under the state DIDS system here, are not only seniors, but seniors who are disabled either “intellectually(not my term, that is the new term for mental retardation) as well as physically illl or  unstable as well, and those benefits get cut first because they are seniors then need to be reapplied for because they are under the DIDS system. Meanwhile, they will lose their places in group homes, their medication, their respite care, you name it. Be have one poor lady getting all of 16.00 a month to live on after the gov’t takes her money for meds. Criminal. 

  • Katmoon

    (HUGS RRRA, for you comments the other night) I would have the same problem, if I wasn’t on a study drug; and yes that is scary but I am at least able to move and function about 98%of  the time, compared to Ferd having to help me dress, bathe, and toilet a mere three years ago thanks to a severe case of RA. What would happen is we would be punished for the good plan Ferd has worked for and paid for this past 25 years, owing more out of pocket for services, and medication than we could afford and survive. We would have to decide between our home and my medication, which without the study is 1200 a month beyond the prescription coverage, under the new plan we will be taxed 20% of what has already been earned and paid for, then have to put out copays, which we do not have to do now,,and so it goes.
    The one thing about the study, besides it being the devil I know, is the government cannot get their hands on the records at this point, and neither can they thru this doctor per a new Hipaa signed, will it hold? I do not know, but I do know they are already starting to try to get into records from other avenues that have nothing to do with our health care,using the information as possible predictors to future possible problems. The thing is sometimes there is a disease, that has nothing to do with any substance you may or may not have put into your body, and you have the disease. There is no cure, there is no fix, because without the medication the disease will reset and start all over again, that is RA. You can replace the joint but if you do not take the immunosuppressant drugs, the joint will be attacked all over again.
    Further, we are now experiencing the bad doctor syndrome, as in the medical field is now being flooded with seemingly more types who have no business in the field, because there will be a need, so no one is keeping an eye on that quality of care that will be given. Remember I was suppose to have cataract surgery? Wrong diagnosis, and I thank God I went for a second opinion, because of my disease and life history the cataracts (tiny) were presumed to be the culprit, when in truth I was given a wrong prescription with the glare offset layered to the inside of the lens, no wonder I was blind when headlights hit the glasses. I am looking forward to getting new specs next week. Meanwhile I am grateful for no surgery, and I am clear that no matter  what crap is thrown at us that is suppose to represent good health care, you need to be just as vigilant with the care and treatment of your body by any medical professional.

  • Katmoon

    Breeze, I think the NPR fiasco is keeping in the forefront what many of us have felt for nearly three years, and that anger is still raw and ready to vote. I like to think no matter what name comes out to sway the voters away, thinking voters will have their day, and bring such a stalemate to D.C., that the only voice that will be heard is the one of the will of the voters.

  • Diana L. C.

    Wow–I am overwhelmed by the stories on this thread so far.  To all who are suffering from health problems or who have lost people in your lives because of health problems that were not addressed well or who have close friends and family with health problems, I give my prayers and good wishes.

    What the Dems have done is cause worry and confusion and set the stage for fraudulent or at least underhanded insurance practices.  Maybe, as kenoshamarge wrote upthread, some of the Dems might have thought they were doing something good, but I still say that they should be all kicked out for not listening to the majority of the people who were screaming, shouting, writing, and calling to ask them to take time and do this “reform” right instead of shoving something onto the public the way they did without really know how it would work.  They don’t deserve at all to be considered elected “representatives.”

    So far I do not know people without insurance that is pretty good or people who have suffered anything but slight increases in monthly health insurance premiums (me included).  But, as with these elections, I am holding my breath as hard as I can.  What a way to live.

  • Docelder

    The medical field is being flooded with doctors and nurses trained in places like India, Pakistan and the Philippines. Not trying to be a snob here, but we know the quality of the education here, we know the accreditation and the transcripts are above board. We don’t know any of that coming from these third world countries. Plus, we are sending bright young men and women to work at WalMart while we import foreign trained professionals just because we don’t have the school capacity here or because young people can’t afford to be trained here. I really don’t get this at all and I never did. It is as if somebody wants to force feed world integration like it was some king of worldwide “bussing” and in doing this nothing at all is off the table.

  • Docelder

    The medical field is being flooded with doctors and nurses trained in places like India, Pakistan and the Philippines. Not trying to be a snob here, but we know the quality of the education here, we know the accreditation and the transcripts are above board. We don’t know any of that coming from these third world countries. Plus, we are sending bright young men and women to work at WalMart while we import foreign trained professionals just because we don’t have the school capacity here or because young people can’t afford to be trained here. I really don’t get this at all and I never did. It is as if somebody wants to force feed world integration like it was some kind of worldwide “bussing” and in doing this nothing at all is off the table.

  • Docelder

    Some insurance sales people are using the unknown of the healthcare “change” to take advantage. There is a lot of misinformation out there. Unfortunately, the healthcare law was written to benefit insurers. That is what it was about really. Insurance. It was never about health care. Never. Those two things… insurance and health care are nowhere near the same thing. At least they never were until hospitalization and drugs became astronomically priced. Now hospitals, drug companies and insurers serve as a kind of cabal dangling “health” out there as if it were something they had to sell. They don’t have it to sell. It doesn’t belong to them. It never did.

  • Docelder

    People should not be forced into the decision to eat or have their meds. - The worst part is the 2700 pages of law passed that nobody read and which doesn’t even try to address this simple truth… People can’t afford hospitals and prescriptions anymore. It isn’t so much the doctors. It is the corporations that have hijacked “health”. They are untouchable right now no matter who gets to fly around in the presidential travel jet. It is bullshit.

  • Texas Playwright

    I say repeal that health scam nonsense in full. 

  • Retired

    Bronwyn, what I am saying, perhaps too circuitously, is this:  In 2009, the Democrats held the Presidency, the House and two thirds of the Senate.  The American voter granted them the power to do anything that they chose.  What did they do with that power?  They pissed it away on petty squabbling on how much pork swing votes would receive, screwing those very voters that gave them so much power in the process.
    To add insult to injury, the Democrat swing voters bragged on how they held up their colleagues and fellow Americans as if they were gangsters bragging about their latest haul.  I am thoroughly disgusted and this episode will guide how I research candidates and how I vote for the rest of my life. 

  • socalannie

    I tried to read it, and couldn’t make heads nor tails of it.  Thank God for us that the V.A. pays for my Dads alzheimer drugs.  My kid is on seizure meds–the crappy generic is only $10 copay, but the better original is $300…per month!  I get them for half that from Canada.  

  • Docelder

    Which is one of my biggest pet peeves. If we can export jobs and outsource everything else… and we can import everything from China because it’s cheaper… why can’t seniors legally purchase their medications from Canada and have Medicare reimburse for them? It doesn’t make any sense why medicine is 2-3 times the price here except that there is no current free market here for them. If they could be bought overseas this would quickly change. But as we see it can’t be done. So why is the pharmaceutical industry being protected even as the rest of industry is being pillaged? I think I know. I think they own enough politicians.

  • elaine

    Bronwyn, I just googled: Abilify & Abilify+manufacturer.  In its generic form it seems to have several manufacturers & there are also companies offering to sell it without a perscription. Iffy. Try to develope a good relationship with a pharmacist, a good pharmacist is a warehouse of info especially if they trust you to keep their confidence. Don’t talk to a real young one. I bet a good pharmacist could advise you on if/how your neighbor can qualify for any assistance.

  • Clara

    Bronwyn, you’re correct on the PAP’s or Pharmacy Assistance Plans.  I’m frequently called upon to help people find ways to lower their costs of meds and other care so have been in touch with these plans.  Many of the larger companies do consider reductions but mostly, for those with no coverage already.  It’s worth a try to plea to them, especially if the circumstances are dire.  Often, those with some kind of coverage are paying out the ying-yang to hold on to that coverage because their condition would totally wipe them out without it.  Even with some coverage, meds are outrageous.  This makes the administration’s deal with Big Pharma more enfuriating.

    One more thing about all elected officials being bad if they voted for this bill.  I’m privileged to work for one of these persons and know the extended deliberation that he/she undertook.  Many points of disagreement and concern were raised along the way with the understanding there were inherent problems.  However, in the end, the ability to try to help, particularly those who were dumped from a policy or had rates raised to the point they couldn’t keep the coverage, or children who are desperately or chronically ill who could get no coverage, outweighed the problems.  Knowing that the bill was far from perfect and that could be addressed, she/he felt it was the right thing to do.  That doesn’t make every person who serves bad or evil or worthy of being voted out.  If we aren’t careful, we’re going to turn out some very bright, serious and patriotic public servants in our quest to prove a point or create the perfect.  The perfect doesn’t exist.

  • Katmoon

    If you want to purchase from Canada, here is some information.

    In the United States, there are two verification programs for online pharmacies that are recognized by the National Association of Boards of Pharmacy (NABP). One is the Verified Internet Pharmacy Practice Sites Program (VIPPS), which is operated by the NABP and was created in 1999.[9] The Food and Drug Administration refers Internet users interested in using an online pharmacy to the VIPPS program.[10] The other is LegitScript, which as of September 2010 had approved over 340 Internet pharmacies as legitimate and identified over 47,000 “rogue” Internet pharmacies

    http://www.canadarx.com/search.html

    Importation of any prescription drug (not necessarily a controlled substance) violates 21 USC, Section 301(aa), unless the following conditions are met (as listed in Section 804): The drug is imported from Canada, from a seller registered with the Secretary (i.e. with FDA);The drug is imported from a licensed pharmacy for personal use by an individual, not for resale, in quantities that do not exceed a 90-day supply;The drug is accompanied by a copy of a valid prescription;The drug is a prescription drug approved by the Secretary;The drug is in the form of a final finished dosage that was manufactured in an establishment registered under section 510; andThe drug is imported under such other conditions as the Secretary determines to be necessary to ensure public safety.The law further specifies that enforcement should be focused on cases in which the importation by an individual poses a significant threat to public health, and discretion should be exercised to permit individuals to make such importations in circumstances in which the prescription drug or device imported does not appear to present an unreasonable risk to the individual.[12]According to Department of Homeland Security Appropriations Act, Section 535, Customs and Border Patrol are not allowed to prevent people from importing FDA-approved prescription drugs. Although originally the law was drafted to cover all prescription drugs, countries of origin, and methods of delivery, the law as passed specifies that it only applies to importation from Canada, and to “…individuals transporting on their person a personal-use quantity of the prescription drug, not to exceed a 90-day supply”. Controlled substances are also explicitly excluded.It is also illegal to import non-approved drugs (21 USC sections 331(d) and 355(a)); however, FDA policies suggest that, under certain circumstances, patients may be allowed to keep these drugs.[13]Individual U.S. states may implement their own laws regulating importation, possession, and trafficking in prescription drugs and/or controlled substances.For several years, the states of Nevada, Minnesota, Illinois and Wisconsin have run official state programs to help their residents order lower-cost drugs from abroad to save money.

  • Clara

    Candymarl,
    Which benefits were touted as being “free”?  As of right now, the only portions of the plan in place are for young adults up to the age of 26 who can be carried on their parents’ plan, and coverage for children with pre-existing conditions if they have had no coverage in the past 6 months.  I don’t recall any portion of the plan that is supposed to be free.  In 2014 when the entire thing kicks in, for those at the lowest income levels there may be no cost coverage provided or coverage is subsidized for certain incomes. 

    Not saying there aren’t problems with this bill because there are quite a few.  To begin with, cost wasn’t addressed (despite all those damned “bending the cost curve” comments).  This bill seems to look more at access than cost, which is one of my biggest concerns.

  • Katmoon

    Reconditioned home medical supplies-these are state specific, I am trying to put together a country wide list.

    http://www.yourresourcenj.org/index.html

    http://www.changinghandscentralpa.org/

  • I Feel Our Pain

    I am disabled and have SSDI, medicare eligible and have private insurance with Medicare Part D.  I am taking 3 life continuing drugs (without them I die) these drugs on a 3 month mail in supply through a former employers insurance group plan was a co payment $60 per drug x 3 = $180 for three month supply. 

    Roll the clock forward, under Medicare Part D, the same drugs, through a private insurer, after a $275 deductible, and reaching the infamous $2850 limit, I now pay 100% of the drug cost.  GET READY….The total of the three drugs on a MONTHLY basis is $4,175.00  YES THAT IS CORRECT.  There are alternatives, but the cost for other drugs are the SAME.  There are NO generics, NONE, NADA.

    So, the $250.00 doesn’t even cut it. 

    I was faced with reality that I can not afford my drugs until I get into Medicare’s Part D Catastrophic Coverage.  I could not afford the ~ $4,100 dollars unless I did not pay my living expenses to get out of the “doughnut hole”.

    With the HELP, no less, of the Insurance Company, I was told to go to the manufacture of the drugs and apply of assistance.  I told them that I previously had done exactly that and was denied based on income and having insurance with a Rx plan.  The INSURANCE COMPANY Representative, who was the most pleasant and understanding person told me that I NOW qualify with an exception to be approved into the drug manufactures assistance programs because TECHNICALLY I no longer had Rx drug coverage since I was in the “DOUGHNUT HOLE”.

    So, Google search for drug assistance programs, many phones calls, submitting applications, with my doctors affidavit, provided income tax returns, and anything else they require, I was approved for assistance.

    I was supplied for free my LIFE SAVING drugs from the manufacture only until the end of the year at which time the Medicare Part D starts anew.

    During this time of uncertainty, I was full of despair, depressed, and almost to the point of giving up.  By some divine intervention and the thoughtfulness of another pointing me to the right road, I have been spared, for now.  2011 it starts all over again and the only benefit I can see from the new HC Law is the drugs, I need to live, costs will be reduced extending by a few months the “doughnut hole”. 

    Please, if you know anyone in this position, seek out the assitance programs.  If you have a relitive, neighbor anyone you know, help them, give them a gift to help pay for their medication, or one of their other expenses, just don’t let it be thier issue, or write about how bad it is for them….HELP THEM, PLEASE….

  • Katmoon

    Thank you for sharing your experience IFYPl; what a nightmare, I am so sorry to hear of it.I am always looking for programs to help, I am in a similar position without what I need I no longer can move, walk or live an independent life. I am trying to take classes and get as much information as I can to educate myself regarding the upcoming medicare situation and will try to compile a current database of plans that are nationwide and state specific for assistance.  

  • cookiegramma

    yes there are times, but I knew the new obamacare would be a problem, just never thought it would have this serious an effect. Thank everyone for the condolences.

  • elaine

    Katmoon, Thank you so much for sharing your research.  Presently I don’t know anyone who would benefit, however I’m putting it in my permanent file; I just know it’ll come in handy someday. Prayers & good wishes to you & I Feel Our Pain & others further up thread.

  • Bronwyn

    I called Social Security and Medicare MYSELF.  I also called her drug insurance company.  All three confirmed what she’d told me — she does NOT get the $250.  Period.  End of story.

  • Crackerjack -Obamastahn Rebel Resistance

    this bill is turning out to more of a death plan to weed out the “unfit” population and have the fit fend for themselves.  Eugenics anyone?

  • Talk2ThePaw

    As Sarah would say, “You Betcha”.

  • Docelder

    I am not sure if you are addressing me or not. But, I looked it up and here is the information about the rebate checks. It is pretty plain and simple. To get it you have to be in the coverage gap and not be receiving any extra help with drug costs. So, it is true… the poorest of the poor won’t get the rebate check, because they probably already get extra help with drug plan premium and copayments. People who don’t get extra help have been paying full copayments and the premium for the drug olan itself out of their pockets all year. This is who the rebates were intended for.

    http://www.medicare.gov/Publications/Pubs/pdf/11464.pdf

  • Docelder

    I am not sure if you are addressing me or not. But, I looked it up and here is the information about the rebate checks. It is pretty plain and simple. To get it you have to be in the coverage gap and not be receiving any extra help with drug costs. So, it is true… the poorest of the poor won’t get the rebate check, because they probably already get extra help with drug plan premium and copayments. People who don’t get extra help have been paying full copayments and the premium for the drug plan itself out of their pockets all year. This is who the rebates were intended for.  
     
    http://www.medicare.gov/Publications/Pubs/pdf/11464.pdf

  • Katmoon

    There was a post here, that has been removed, I am curious as to what happened to it.
    Thanks

  • Katmoon

    Not sure either, regarding false information.

  • Docelder

    I am hoping one of the bots posted above and deleted. Then again, Bronwyn said she asked social security… not sure what they would have to do with medicare drug rebate checks. I am fairly certain nothing. People like to complain about medicare, but all in all it is a pretty good program considering all who have their fingers in the medicare pie. The coming crisis will be all the younger people in the rust belt states getting on disability and medicare because there aren’t any jobs.

  • Katmoon

    I think it may have been a bot delete, I lost the meat of a post below which was all drug trials and assistant programs for scripts, (helpful for people who need a cash beak on their scripts) where it went I do not know, again maybe a bot delete.

  • Katmoon

    cash break that is

  • Ferd Premium Saltine Berfle

    I wondered what happened to your post, as well.

  • Pingback: The REAL Unemployment Numbers Coming To Light : NO QUARTER

  • ctfsh

    “No, she cannot get assistance from the drug company that produces Abilify since she has insurance. Only people without any insurance can get help from drug companies.”

    I saw this coming in 2008, this guy has a philosophy of “just become a little more helpless, and you’ll be rewarded with government aide.” The opposite of rewarding those who “work hard and play by the rules.”

  • ctfsh

    As someone who’s known a Narcissist very well for a long time, this is their M.O. a) they get a little “high” out of making people they love angry. It reminds the N.P.D. they affect people. While NPDs want to be loved, not hated, the intensity of the anger toward them is better than none. It’s the intensity that gives them the high. b) they create clouds of confusion everywhere which causes the people in their orbit to constantly play catchup ironing out the subtle lies half-truths and self-contradicting statements made by the NPD.

    And of course, NPDs are constantly off-loading shame and off-loading blame to someone nearby who can absorb it (a “blame sponge” if you will.)

  • ctfsh

    “People who say we cannot/should not provide for those who can’t do this for themselves are assholes not conservatives.”

    I’d also add this is not conservative – if people walk around with Tuberculosis because they can’t afford a doctor visit, they infect people around them and erode their own productivity. It’s pennywise pound foolish not to expand access to coverage.

    Somehow, though, this bill cemented in the least cost-effective method of expanding access to coverage. Great job, Mr President.

  • ctfsh

    “People can’t afford hospitals and prescriptions anymore. It isn’t so much the doctors. It is the corporations that have hijacked “health”.”

    A thousand Amens to this comments. This bill managed to make life more miserable for both doctors and patients. That took some skill.