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Message

re: Medicare Adviser?

Posted on 6/27/22 at 7:25 pm to
Posted by Scooby
Member since Aug 2006
1939 posts
Posted on 6/27/22 at 7:25 pm to
quote:

Entresto can be subbed out for Carvedilol (which is about $10)


Ummm, not exactly. There might be a reason he’s on an ARB and not a Beta Blocker.
Posted by deeprig9
Unincorporated Ozora
Member since Sep 2012
73030 posts
Posted on 6/27/22 at 7:27 pm to
quote:

xarelto
entresto
trelegy


There's good news and bad news here. The bad news is those are expensive drugs. The good news is... also bad news.
Posted by papasmurf1269
Hells Pass
Member since Apr 2005
21374 posts
Posted on 6/27/22 at 7:28 pm to
Have y’all checked out that prescription site that Mark Cuban started?
Posted by Sao
East Texas Piney Woods
Member since Jun 2009
68469 posts
Posted on 6/27/22 at 7:28 pm to

Looks like the FIL has some history of clotting. Or DVT.
Posted by pharmer
Member since Feb 2014
68 posts
Posted on 6/27/22 at 7:38 pm to
If he is paying $1000 a month should reach his max out of pocket and put him in the catastrophic phase where his copays should only be $3.95 for generics and 8.95 for brands and quite possibly $0.00 depending on his plan.
Posted by Abstract Queso Dip
Member since Mar 2021
5878 posts
Posted on 6/27/22 at 7:58 pm to
Does he have a passport? What is the medicine? Fly to Mexico with a bunch of asparin bottles. By the drugs from Mexico and fly back. If he gets caught make it a big deal and then a national deal and then a go fund me. Maybe little Debbie will contribute. I kid I kid.
This post was edited on 6/27/22 at 8:00 pm
Posted by cajunangelle
Member since Oct 2012
162458 posts
Posted on 6/27/22 at 8:33 pm to
quote:

Well, those are some of the very meds that I talk about in my post

Xarelto can be substituted for Coumadin (which costs $5)
Entresto can be subbed out for Carvedilol (which is about $10)
I don’t know about Trelegy
Then use Good Rx on your phone.
Posted by Wiseguy
Member since Mar 2020
4069 posts
Posted on 6/27/22 at 8:39 pm to
quote:

Most Medicare Advantage Plans are much better than original Medicare, even if you have a good Medicare Supplemental Plan. If you don't have a Medicare Supplemental Plan, original Medicare will put you in the poorhouse. Look at the Medicare Advantage Plans available in your zip code area. These plans are listed in the back of your Medicare handbook. Of course, you have to see if the medicines you need are in the formulary of the plan you would like to choose. You are probably going to have to wait for open enrollment in October, but Medicare does have options to change plans before open enrollment. Look in the handbook.


If you need anything other than routine care, this is bad advice. The Medicare Advantage (or Medicare replacement) plans are good if you only have routine medical needs- MD visits, prescriptions, etc. If you ever need anything like physical rehabilitation, skilled nursing, etc, then you are going to have a hard time getting those services approved.
Posted by Queen
Member since Nov 2009
3034 posts
Posted on 6/27/22 at 8:41 pm to
LINK

That link is to a membership-based pharmacy in Tennessee. I don’t know the status of whether they can help a patient in other states (may depend on your state). If that specific pharmacy can’t help, they may be able to point you to one in your state that can.

Membership pharmacies like this one operate outside insurance of any kind. You pay your membership fee then you get your prescriptions at cost or free. Some of these charge on a per-script basis, others a per-person or flat fee. On that website, they have a medication review form, and you only join if they can save you money. Other similar operations should have the same.

Hope that helps.
Posted by mmmmmbeeer
ATL
Member since Nov 2014
9740 posts
Posted on 6/27/22 at 8:46 pm to
quote:

What does he weigh if had to guess?


Maybe like 150?

He's had a couple of heart attacks, has a pacemaker, still smokes...he's just an ornery, proud redneck who doesn't like asking for help. His second heart attack FINALLY got him to the point that he would regularly go to his doctor appointments, take his meds, etc. I assumed they were giving him these 'fancy' meds because of all he's been through with his heart and lungs.

Thanks.
Posted by mmmmmbeeer
ATL
Member since Nov 2014
9740 posts
Posted on 6/27/22 at 8:47 pm to
quote:

Have y’all checked out that prescription site that Mark Cuban started?


Ha! First thing I thought of when he was telling about what he was paying. Unfortunately, none of them are carried at this time. GoodRX is an arm and a leg, too.
Posted by Queen
Member since Nov 2009
3034 posts
Posted on 6/27/22 at 8:50 pm to
In addition to the above-mentioned membership pharmacies, you can try programs at major stores like Kroger. They have membership-type plans that kind of compete with things like $4 generics from Walmart. You’ll just need to price compare.
Posted by GolfingTiger
Gonzales
Member since Oct 2004
292 posts
Posted on 6/27/22 at 9:10 pm to
See if they can help...

The Assistance Fund
Posted by bkhrph
Lake Charles
Member since May 2022
324 posts
Posted on 6/27/22 at 9:24 pm to
You’re not going to find any discount program that’s even gonna come close to price relief, because it’s the cost of the drug from the manufacturer. I say digoxin, warfarin and albuterol inhaler to replace Entresto, Xarelto and Trelegy, respectively. Add an ARB or ACE inhibitor along with furosemide. Will have keep up with labs. It’s a step back in time by about 30 years, but will definitely save money. They still make these drugs, but I doubt you’d get any prescribers to seriously consider this. But it would beat nothing at all.
Posted by Jake88
Member since Apr 2005
78036 posts
Posted on 6/27/22 at 9:31 pm to
quote:

xarelto
entresto
trelegy
All the television meds. There are likely cheaper alternatives, unless those have already been tried without efficacy.
Posted by Jake88
Member since Apr 2005
78036 posts
Posted on 6/27/22 at 9:34 pm to
quote:

They still make these drugs, but I doubt you’d get any prescribers to seriously consider this
Of course they will. I see those written for frequently.
Posted by Sao
East Texas Piney Woods
Member since Jun 2009
68469 posts
Posted on 6/27/22 at 10:21 pm to
quote:

still smokes...he's just an ornery, proud redneck


Next time you see him, grab a calculator and show him his cig cost per month/year. If you can't get the medical costs down, give up the smokes.
Posted by Wishnitwas1998
where TN, MS, and AL meet
Member since Oct 2010
63728 posts
Posted on 6/27/22 at 11:19 pm to
You are a shitty poster but try costplusdrugs.com (Mark Cuban’s website). I and several others I know have saved over 50% on prescription drugs through it

ETA: nvm, saw above where you tried
This post was edited on 6/27/22 at 11:20 pm
Posted by La Cucaracha
Lafayette
Member since Oct 2016
494 posts
Posted on 6/27/22 at 11:30 pm to
quote:

Most Medicare Advantage Plans are much better than original Medicare, even if you have a good Medicare Supplemental Plan. If you don't have a Medicare Supplemental Plan, original Medicare will put you in the poorhouse. Look at the Medicare Advantage Plans available in your zip code area. These plans are listed in the back of your Medicare handbook. Of course, you have to see if the medicines you need are in the formulary of the plan you would like to choose. You are probably going to have to wait for open enrollment in October, but Medicare does have options to change plans before open enrollment. Look in the handbook.


You obviously sell this snake oil.

99.9% of Medicare replacements are trash. The 0.1% are funded by former employers. The 99.9% love to imply that you’re getting the same coverage as traditional Medicare. False. Let’s use vehicles as a reference: Medicare will give you a Bugatti. The Medicare replacement policy will give you a ‘79 Corolla and will tell you it still runs. If it can be afforded, keep traditional Medicare and get a Plan G policy. If you can’t afford that, see if you qualify for a QMB. QMB is Medicare that is backed by Medicaid. The patient can be billed for nothing. The caveat is, the Medicaid policy can place restrictions on coverage.

Administrative healthcare professional. AMA.
This post was edited on 6/27/22 at 11:38 pm
Posted by aardvark1975
St. Francisville
Member since Jan 2015
163 posts
Posted on 6/27/22 at 11:43 pm to
Out of pocket
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