My Current Med Prices Using Medicare

17 Sep

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My Current Med Prices On Medicare

This is my first month on Medicare (yay fianlly!) so I thought I would share some of my costs for medication. I have a higher-priced Blue Shield of California PDP (Part D, Prescription Drug Plan). As you may or may not know when you get social security disability you get Medicare within 2 years. You will then need to choose if you want to keep or upgrade your Original Medicare and you will need to pick a prescription plan most likely (which is not automatically included).

Everyone is different and have different situations but for me I am single, no other insurance, and do not qualify for any SSA or other prescription savings programs. So I need everything I can get. By the way you do not get Dental with Medicare unless you choose some high price insurance plan from a third party (I believe). I cannot afford Dental or a higher priced plan other than “Original Medicare”.  So for me my total cost to have and continue with Original Medicare and my Part D prescription plan are $210 a month. I guess it beats my old $625 a month Cobra plan when I had zero income for 3 years.

I chose my plan based on the pricing for Mepron since I know I will be on it again one day. Most plans want $1000 – $1500 for one bottle but with my plan I think it will cost me around $325 out of pocket. I am no Medicare expert so do your homework and try to read the packet they send you. There is a great online tool they will send you to choose through Part D plans and compare.

I rambled on sorry…. so here are my costs so far while on Medicare, hope this helps you in some way to know what to expect at the pharmacy.

 

My Costs (remember your cost depends on your Part D plan)

 

  • Clindamycin HCL 300 MG (180 qty) – $7.00 out-of-pocket
  • Suprax 400 MG (30 qty) – $75.00 out-of-pocket (I’m told they retail for $600)
  • Fluconazole 200 MG (30 qty ) – $7.00 out-of-pocket
  • Lyme Formula Memory Tonic and Meriva-500$152.00 out-of-pocket (not covered)

 

 

*I buy all my prescriptions from CVS Pharmacy and through my LLMD office.

 

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3 Responses to “My Current Med Prices Using Medicare”

  1. Marie Sprowl November 9, 2013 at 9:52 pm #

    Hi, I’m not sure if you qualify but many on disability can get the Medicare fee waivered. They don’t always volunteer this info, but I think it does vary on the amt of your SSDI income. Good luck, nice blog !

    • 49erBry November 9, 2013 at 10:49 pm #

      Really? I don’t make much just enough to pay for medical bills. I usually call and try to get things covered but they won’t cover the specific meds I need. Thanks for letting me know.

  2. Emma November 16, 2015 at 8:54 am #

    The problem with part d is that it can only take less than $3000 before the donut hole is reached. So if an expansive med like mepron is $400 for you and part d insurance pays $1500, you are bumped into donut hole on the refill. Once you are there, insurance stops paying and you would need to spend a lot more to get out.

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