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Cystic Fibrosis Forum (EXP)

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do you have medicare and are on trikafta?

dbtoo2

Member
What insurance plans are you on that cover trikafta while on Medicare? Or did you give up Medicare to take a separate policy?
 

bharison

Member
I am on Medicare A&B with Anthem Medicare Supplement and Part D Pharmacy plan with CVS Caremark. I get Trikafta though Accredo. I also have Co Pay Assistance through The Assistance Fund.
Diagnosed at Age 64. Born May 1946. df508/r117h
 

missT

Member
I am on Medicare A&B with Anthem Medicare Supplement and Part D Pharmacy plan with CVS Caremark. I get Trikafta though Accredo. I also have Co Pay Assistance through The Assistance Fund.
Diagnosed at Age 64. Born May 1946. df508/r117h
bharison, I am signing up for Medicare soon. May I ask you...how were you able to get assistance through the copay assistance fund? Which one did you use? Did you have to qualify by making a certain cut off per year? What is your monthly copay for Trikafta? I would greatly apprecaite you helping me as this is weighing heavily on my mind.
 

Katie615

Member
In addition to the Assistance Fund, Vertex also has an co-pay assistance program for their CF modulator drugs called GPS.
 

stephen

Super Moderator
bharison, I am signing up for Medicare soon. May I ask you...how were you able to get assistance through the copay assistance fund? Which one did you use? Did you have to qualify by making a certain cut off per year? What is your monthly copay for Trikafta? I would greatly apprecaite you helping me as this is weighing heavily on my mind.
There is an income limit! Also some co-pay assistance programs are not applicable if you have Medicare. I don’t qualify and my monthly co-pay is $1100. That’s 5% of the drug’s cost. (I’m not complaining.)
 
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bharison

Member
bharison, I am signing up for Medicare soon. May I ask you...how were you able to get assistance through the copay assistance fund? Which one did you use? Did you have to qualify by making a certain cut off per year? What is your monthly copay for Trikafta? I would greatly apprecaite you helping me as this is weighing heavily on my mind.
My co-pay for Trikafta is $10. per order. tafcares.org is the web site for The Assistance Fund I get support from.
There are other support funds but this was the only one I qualified for. the CF Foundation Compass program was helpful is providing information on Medicare insurance plans and other assistance funds.
 

chris54

New member
I also use Medicare A&B and I think this is the best I have used others but this one is the best in my opinion
 
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