I know this is a much discussed topic, but it would be really great if type 1s in whatever state you live in could get together and discuss medicare options. I live in Massachusetts. I signed up for a medicare advantage plan. It’s okay. I may switch to Part D, but I only have 5 days to do so.
I found out that insulin syringes aren’t covered by my MA plan. Doctor has to write a letter about durable medical equipment, or you have to use a certain brand that you buy at a preferred pharmacy for cheap. I wrote to my doctor to see if this will work for me. then I just found out you can get insulin needles at walmart for like $12 a month without a prescription.
I called my MA plan, and asked about the supposed $35 cap on insulin (the Biden package that passed). They said it wouldn’t apply to their Tier 3 drugs, Humalog, Lantus. The price she quoted me was $47, which isn’t bad, but first I have to meet the $250 deductible.
There’s a drug plan that offers insulin at like 0 dollars, but you have to pay $55 a month for it, and it’s part D, and so if you see eye guys or diabetes guys or foot guys, then you have to pay 20% of whatever the cost is. I will probably have to call and find out how much these visits cost.
It would be helpful to hear what plans other people have gone for, what they are happy with and what they aren’t. My insurance SHINE counselor thought syringes were covered under Part B, but it’s only covered by a durable equipment letter.
I feel like I keep beating a dead hors, but I’d love to hear your experiences with medicare.