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redstatebluegirl

(12,265 posts)
Wed Dec 11, 2019, 11:53 AM Dec 2019

I take pain medication now and then for extreme back pain.

Currently I take Hydrocodone and it works well when I need it. I don't abuse it but it gets me out of bed when I am having a bad pain day. With that said, I am looking for a Medicare part D plan since I am going on medicare in April and all of them that show on the medicare website say they don't cover this drug, they don't cover the metaxalone I take either. What are my options here? I am finding that medicare is not what everyone says it is who want medicare for all, it is expensive and if you have any issues it does not cover what you need.

Is it true that it doesn't cover cancer treatments either? What a mess this is.

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redstatebluegirl

(12,265 posts)
12. Yes it has!
Thu Dec 12, 2019, 11:33 AM
Dec 2019

My husband has a collaborator who is in Finland, their system is so much better than what we have. His wife had aggressive Breast cancer, the treatment was first rate and it ended up costing them less than $1000 US. He thinks the system we have is nuts. Yes, they pay higher taxes but so much of what they get from the government is to benefit people, not the military establishment or capitalism.

Because so many of our citizens never travel outside of their own state much less internationally they have no concept of how other countries handle issues we botch on a daily basis.

Until we get money out of our elections this is what we get. We get a congress that is bought and paid for by big pharma and big medical interests.

marble falls

(57,079 posts)
13. My folks went to Mexico and Thailand for teatment before my mom passed for specific Dental and ...
Thu Dec 12, 2019, 11:44 AM
Dec 2019

medical treatment. She got to her early nineties.

He still drives down from Phoenix to Nogales for his dental treatment and prescriptions and he actually has a pretty Cadillac-ish HMO.

Meanwhile I am VERY happy with the VA. It seems a good good system that could be ramped up for everyone else, too.

Of course we vets are constantly having to keep watch for privatization.

We need to get private companies out of areas they obviously have not managed very well for the public: health care being a most obvious one.

redstatebluegirl

(12,265 posts)
15. Vets should have cadillac care all the time at no cost.
Thu Dec 12, 2019, 11:46 AM
Dec 2019

You have earned your benefits! I hope it continues to improve for all of you.

lynintenn

(644 posts)
2. I was given Tussinex for whooping cough
Wed Dec 11, 2019, 12:11 PM
Dec 2019

It contains hydrocodone. It was $70. I was told by the pharmacist that no drug plan Medicare or supplemental will pay for medicines containing hydrocodone due to the opioid crisis and high possibility of abuse.

redstatebluegirl

(12,265 posts)
4. Are they going to make alcohol illegal because some people get addicted to it?
Wed Dec 11, 2019, 12:18 PM
Dec 2019

Of course not. I'm sorry I understand that some people have become addicted, but many of those people made very bad choices. Why should those of us who the drugs help pay because of those who can't handle them?

Believe me I understand, my nephew got hooked on them, he was already hooked on alcohol so he had an addictive personality. I don't have that. I have a healthy respect for these drugs.

Makes me nuts, legislating morality again.

lark

(23,094 posts)
5. I know they cover oxycodone.
Wed Dec 11, 2019, 12:22 PM
Dec 2019

I can't take the damn things, my body is not reacting right to any pain meds or NSAIDs, but Medicare paid for them when prescribed by my dr. after major surgery. I've had these issues before with ins. and generally my dr. can prescribe something else that works as well and is covered.

Hope your whooping cough is getting better. When I had this as a kid, mom gave me whiskey, warmed with honey and it helped until dad could get to the store and buy Paregoric (think that's how it was spelled). It was cough syrup with codeine and strong as could be. They haven't allowed that in many decades, but it sure worked great for us kids.

redstatebluegirl

(12,265 posts)
10. My mom did the same for me when I had Whooping cough as a child.
Wed Dec 11, 2019, 01:37 PM
Dec 2019

It helped me I know that. Sometimes the old remedies work just fine .

lark

(23,094 posts)
3. So sorry you are having to deal with this crap.
Wed Dec 11, 2019, 12:14 PM
Dec 2019

A few suggestions

1 - Check out Good RX for your expensive prescriptions, you might find significant discounts. My pills which aren't covered cost retail close to $400 for 15 pills, I got 15 for $68. from Good RX 2 months ago.

2 - Check out Medicare HMO's (part C) to see which/if any cover your drugs and dr. I saved a lot last year. Be prepared to have to intervene if you needs auths or referrals. They cover prescriptions plus lots are offerring vision and dental help as well. Be sure that your drugs and dr. are "in network" or if not, try a different ins. co.

3 - Call/write the drug co. asking for assistance with the price. I've heard that many companies do this?

Good luck!!!

Me.

(35,454 posts)
6. Have You Talked To Your Doctor About This
Wed Dec 11, 2019, 12:27 PM
Dec 2019

Wxplain it all because many of them don't know what costs etc. are entailed.

 

Hoyt

(54,770 posts)
8. Check again. I think Part D plans do cover Hydrocodone and muscle relaxants similar to metaxalone.
Wed Dec 11, 2019, 01:06 PM
Dec 2019

It is a pain in the rear trying to figure this stuff out, but it's what we are stuck with, even under Medicare-for-All.

WhiteTara

(29,704 posts)
9. I'm on medicare
Wed Dec 11, 2019, 01:14 PM
Dec 2019

and they pay for hydrocodone for 7 days. So for someone like me, if they prescribe every four hours, that's 30 pills. If they prescribe more, you can pay the difference. Talk to your dr's insurance department and request a pre authorization for your particular meds. If you need assistance, talk to medicare and they will put you on a special program, depending on your income. I don't pay part A/B or D, but pay supplemental. It's very helpful as they pay for all my medications, including Humira.

Ask questions, call various insurance companies, compare. My supplemental is with USAA as my father was in the army.

Lulu KC

(2,565 posts)
11. You may need someone to look at your particular situation and help you figure it out--at no cost
Wed Dec 11, 2019, 01:51 PM
Dec 2019

As I approached Medicare age, the mailbox was full every day with people trying to sell us supplemental things. We used EnlightnU, which you could google, but I don't know what states they cover. They made perfect sense of everything. Even if you buy nothing, these companies are required to provide medicare education in order to qualify to sell it. I felt like I was swimming in information until we met with them. EnlightnU made the most sense, and that's what I needed! Sense!

They did the research on the best Rx plans and came up with different ones for my husband and for me based on our list of meds.

The cancer thing is another whole story--you will need to learn about medicare b and supplemental plans. They are much cheaper than alternatives.

Best wishes to you.

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