So if you didn’t know, SilverScripts has dropped Fiasp from their formulary. I’m relatively new to the Medicare world, and when open enrollment comes around I’m like “How different could it be?” But I thought I’d better have a look and it turned out the answer is: a lot. They’ve also dropped Jardiance, which is also expensive OTC. My total drug + premium would go from $1254 to $19,361.
This would be ameliorated by the fact that I’ve been getting my pump insulin as DME, with United HC picking up the balance after Medicare, so it’s been zero copay. But I don’t like to go without having it covered as a pharmaceutical if something goes awry. And Jardiance So I’ll be switching to a different carrier, probably some flavor of Blue MedicareRx (I’m in CT, which makes a difference to what’s available). If anyone else has opinions on this I’d love to hear them.
They dropped Omnipod and Novolog. The lady was trying to convince me how wonderful they are, and I had to inform her some of us cannot use Humalog or insulin mixes. I selected AARP UHC RX Preferred.
So frustrating!
When I was looking for Laura I found Aetna eliminated all but their most restrictive, aka lowest cost, Part D “Silverscript” plans. Sounds like Connecticut is one of the states with access to the less bad version of the plan.
In this world nothing can be said to be certain, except death and taxes and formulary changes.
Starting year 2025, out of pocket max is 2000 per year according to Biden‘s plan, isn’t that correct? I am banking on that because my present part D out-of-pocket is $8000. I was considering a change, but none of the options in Wisconsin look attractive.
The Health Insurance CARTEL’S will continue to make it more difficult to be covered so they can make more $$$. Like “spdif” suggested, they want T1D’s and others to “go away!”.
What a system… they will end run around “any” way they can any legislation to in effect reinstate pre-existing conditions and other ridiculous exceptions to coverage. Formulary musical chairs is just one example.
