My husband is retiring at the end of the year. We currently have super insurance that has paid for everything, including Revlimid, 100%. We are getting conflicting information from "advisers" as to whether Medigap + Part D or Medicare advantage plan is better option given the cost of Revlimid. I live in Chicago. Any help is greatly appreciated. Thanks so much.
I am not sure if this info is applicable but I retired from the State of Florida. I opted to take Nedicare and keep my state supplemental insurance. It has been a blessing. I have not had to pay more than 30 dollars copay for my Revilimed. I now take polmalyst that I get copay assistance from the company. I was diagnosed in 2017 and had Transplant in 2018.
The thing that has helped me is that I kept the supplemental insurance from my job. I fet weekly treatments but I pay $800 per month and it covers my co pay for treatment and helps with prescriptions. We travel frequently and when I have had to get out of network care I have experienced no problems regarding acceptance of insurance. I am just saying investigate all options before you decide.
I went on medicare advantage part D this year. Rvlimid is $17,800 per month . On the UNC plan you need to spend$6000, then its $1000 per month. OUT of pocket $15,000 per year! This is only estimated . But if you make less than $150 or 180 k per year you can apply to the Bristol Myers Squibb patient assistance program. I suggest you call them and talk to them about your situation. !-(Phone number can only be seen by the question and answer creators). I get it free for now. good luck
As a new Medicare eligible patient, you have ALL the choices available. If you go with an Advantage plan, there could a problem getting a supplemental plan in the future. You can always revert to straight Medicare but once you have a cancer diagnosis. That is what happened to my husband. His Advantage plan is paying but the pre-approval process is slow and painful. We are pretty restricted about travel because of networks. There is a grant that help cover Rev as long as you are below the income requirement. My nonprofessional recommendation would be to go with straight Medicare, Medigap, Part d. It is kind of like a one way street.
Seems they all leave. 5% co-pay for Revlimid, which adds up