To make this as short as possible here goes. I'm on Humana medicare insurance end of February I fell into the doughnut whole where they'll no longer cover my insulin .
I'm a severe diabetic and take 4 injections a day of HumlinR U-500 because I'm insulin resistant.
Regular insulin burns at the injection site and it takes 5x as much insulin as the U-500 does. So by taking U-500 I take 4 injections of 40cc daily instead of 8 injection daily of regular insulin.
By using the U-500 I can keep my blood sugars manageable.
Problem is now my prescription for 1 month of 2 vials is $1400 which is more then I make on SS.
Humana has been no help at all. We've talked with over 20 representatives. I was supposed to be on a special needs program for diabetics which covered insulin even thru the gap. Now they tell me they eliminated that program this year after I signed up.
Last year I went over 90 days without my prescribed insulin before they agreed they would pay for it. They assured me everything was ok for this year.
I'm down to half a vial only taking 1 injection per day now. Not eating but 1 small meal a day usually soup or salad. Blood sugars are in the upper 200 range.
Their answer was pay $4000 out of pocket for medication then they'll pick up 75&.
Have my doctors provide me with free samples (U-500 is not provided as a sample) How ever doctors will give me any free samples they can. But that's now going to be 8 injections daily and double the amount of syringes plus I'm allergic and get the terrible burning and can only use it a short time.
Another answer if I get on a pump they'll cover it. Doctors say pump is no good as I take to high a dosage and U-500 not readily available for pods or pumps.
Another, call manufacturer which I did but Lilly only supplies one free vial per calendar year, Unfortunately had to go that route last April can't use again till May.
Another apply for state Medicaid , Which we did but my wife works and makes $200 a month to much for us to get any prescription help.
Ok the last one was the best and suggested by more then one Humana representative .
My wife should divorce me and have the state put me in a rest home and take over my medical care.
That or go to the ER 4 times a day for injections and pay my $75 copay.
They will how ever have someone come care for me while my wife is at work or also pay for a gym and dietitian program.
As you can see I'm lost at what to do now. Has anyone gone thru this before?
I have little to no insulin left. I'm just looking for some guidance .
Pensacola , Florida