What's new
By:
Filters
Cystic Fibrosis Forum (EXP)

This is a sample guest message. Register a free account today to become a member! Once signed in, you'll be able to participate on this site by adding your own topics and posts, as well as connect with other members through your own private inbox!

prescription drug costs

M

mom4holly

New member
I have a $5,000 deductible but my company gives me a $1,500 HRA. after I meet my deductible they cover 80% of my formulary meds & 50% of my non formulary but I only pay $8 for generics. Pulmozyne is non-formulary but TOBI has thankefuly just been moved to formulary. my premium is $196 month. My daughter takes several other meds so total with dr's visits because that's a $45 copay for a specialty doc (which the CF doc is) & a $22 copay for regular docs so all together I pay anywhere from $550-700 in copays a month, it depends on if shes on tobi or not & I also pay monthly for my vest. If I didn't have my mom helping me pay some months we would be in BIG trouble but im living with my grandma to help with cost also
 
M

mom4holly

New member
I have a $5,000 deductible but my company gives me a $1,500 HRA. after I meet my deductible they cover 80% of my formulary meds & 50% of my non formulary but I only pay $8 for generics. Pulmozyne is non-formulary but TOBI has thankefuly just been moved to formulary. my premium is $196 month. My daughter takes several other meds so total with dr's visits because that's a $45 copay for a specialty doc (which the CF doc is) & a $22 copay for regular docs so all together I pay anywhere from $550-700 in copays a month, it depends on if shes on tobi or not & I also pay monthly for my vest. If I didn't have my mom helping me pay some months we would be in BIG trouble but im living with my grandma to help with cost also
 
M

mom4holly

New member
I have a $5,000 deductible but my company gives me a $1,500 HRA. after I meet my deductible they cover 80% of my formulary meds & 50% of my non formulary but I only pay $8 for generics. Pulmozyne is non-formulary but TOBI has thankefuly just been moved to formulary. my premium is $196 month. My daughter takes several other meds so total with dr's visits because that's a $45 copay for a specialty doc (which the CF doc is) & a $22 copay for regular docs so all together I pay anywhere from $550-700 in copays a month, it depends on if shes on tobi or not & I also pay monthly for my vest. If I didn't have my mom helping me pay some months we would be in BIG trouble but im living with my grandma to help with cost also
 
M

mom4holly

New member
I have a $5,000 deductible but my company gives me a $1,500 HRA. after I meet my deductible they cover 80% of my formulary meds & 50% of my non formulary but I only pay $8 for generics. Pulmozyne is non-formulary but TOBI has thankefuly just been moved to formulary. my premium is $196 month. My daughter takes several other meds so total with dr's visits because that's a $45 copay for a specialty doc (which the CF doc is) & a $22 copay for regular docs so all together I pay anywhere from $550-700 in copays a month, it depends on if shes on tobi or not & I also pay monthly for my vest. If I didn't have my mom helping me pay some months we would be in BIG trouble but im living with my grandma to help with cost also
 
M

mom4holly

New member
I have a $5,000 deductible but my company gives me a $1,500 HRA. after I meet my deductible they cover 80% of my formulary meds & 50% of my non formulary but I only pay $8 for generics. Pulmozyne is non-formulary but TOBI has thankefuly just been moved to formulary. my premium is $196 month. My daughter takes several other meds so total with dr's visits because that's a $45 copay for a specialty doc (which the CF doc is) & a $22 copay for regular docs so all together I pay anywhere from $550-700 in copays a month, it depends on if shes on tobi or not & I also pay monthly for my vest. If I didn't have my mom helping me pay some months we would be in BIG trouble but im living with my grandma to help with cost also
 
E

Emily65Roses

New member
I don't know how much my premium is, I'm still on mom's insurance. But I know for meds I pay about $100 a month. And the copays are pretty small. I just have a lot of crap to buy.
 
E

Emily65Roses

New member
I don't know how much my premium is, I'm still on mom's insurance. But I know for meds I pay about $100 a month. And the copays are pretty small. I just have a lot of crap to buy.
 
E

Emily65Roses

New member
I don't know how much my premium is, I'm still on mom's insurance. But I know for meds I pay about $100 a month. And the copays are pretty small. I just have a lot of crap to buy.
 
E

Emily65Roses

New member
I don't know how much my premium is, I'm still on mom's insurance. But I know for meds I pay about $100 a month. And the copays are pretty small. I just have a lot of crap to buy.
 
E

Emily65Roses

New member
I don't know how much my premium is, I'm still on mom's insurance. But I know for meds I pay about $100 a month. And the copays are pretty small. I just have a lot of crap to buy.
 
M

marcijo

Guest
And this is why health care is #1 on my list when choosing a new president!

Each month I spend:

$89.44 for Advair
$30.00 for Hypertonic Saline
$35.00 for Pulmozyme (however last year they changed brand name drugs to be covered at only 50%, so my monthly cost for pulmozyme was $350!). Luckily this year they changed it back.
$100 a month towards my vest (13 months left)
$50 a month towards my premium (through work).

This doesn't include my copay of $30 and my deductible of $1000.00. Also-each time I go to the CF center, because it is in a hospital, they charge me a $75 room charge. So my bill just to see the doctor, etc, is $200.00. Which is not bad in the whole scheme of things...but we just can't afford it!
 
M

marcijo

Guest
And this is why health care is #1 on my list when choosing a new president!

Each month I spend:

$89.44 for Advair
$30.00 for Hypertonic Saline
$35.00 for Pulmozyme (however last year they changed brand name drugs to be covered at only 50%, so my monthly cost for pulmozyme was $350!). Luckily this year they changed it back.
$100 a month towards my vest (13 months left)
$50 a month towards my premium (through work).

This doesn't include my copay of $30 and my deductible of $1000.00. Also-each time I go to the CF center, because it is in a hospital, they charge me a $75 room charge. So my bill just to see the doctor, etc, is $200.00. Which is not bad in the whole scheme of things...but we just can't afford it!
 
M

marcijo

Guest
And this is why health care is #1 on my list when choosing a new president!

Each month I spend:

$89.44 for Advair
$30.00 for Hypertonic Saline
$35.00 for Pulmozyme (however last year they changed brand name drugs to be covered at only 50%, so my monthly cost for pulmozyme was $350!). Luckily this year they changed it back.
$100 a month towards my vest (13 months left)
$50 a month towards my premium (through work).

This doesn't include my copay of $30 and my deductible of $1000.00. Also-each time I go to the CF center, because it is in a hospital, they charge me a $75 room charge. So my bill just to see the doctor, etc, is $200.00. Which is not bad in the whole scheme of things...but we just can't afford it!
 
M

marcijo

Guest
And this is why health care is #1 on my list when choosing a new president!

Each month I spend:

$89.44 for Advair
$30.00 for Hypertonic Saline
$35.00 for Pulmozyme (however last year they changed brand name drugs to be covered at only 50%, so my monthly cost for pulmozyme was $350!). Luckily this year they changed it back.
$100 a month towards my vest (13 months left)
$50 a month towards my premium (through work).

This doesn't include my copay of $30 and my deductible of $1000.00. Also-each time I go to the CF center, because it is in a hospital, they charge me a $75 room charge. So my bill just to see the doctor, etc, is $200.00. Which is not bad in the whole scheme of things...but we just can't afford it!
 
M

marcijo

Guest
And this is why health care is #1 on my list when choosing a new president!

Each month I spend:

$89.44 for Advair
$30.00 for Hypertonic Saline
$35.00 for Pulmozyme (however last year they changed brand name drugs to be covered at only 50%, so my monthly cost for pulmozyme was $350!). Luckily this year they changed it back.
$100 a month towards my vest (13 months left)
$50 a month towards my premium (through work).

This doesn't include my copay of $30 and my deductible of $1000.00. Also-each time I go to the CF center, because it is in a hospital, they charge me a $75 room charge. So my bill just to see the doctor, etc, is $200.00. Which is not bad in the whole scheme of things...but we just can't afford it!
 
You must log in or register to reply here.
Top