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Here in Maineâ?¦none of the plans offered by only two organizationsâ?¦Anthem and another offer any coverage for specialty medications. Still working through the lines of communication.
My Atripla is a tier 2 drug for 2013. In 2014 it becomes a tier 5 specialty. Seems criminal to me that after years of being a tier 2 it changes to tier 5. This means that for me my co-pay up to the GAP is 33%. Then, 47% through the GAP. Then once I reach catastrophe it drops to $6.25. Dam greedy insurance company. BTW, my insurance company in Indiana is I.U. Health plans.
I am a government retiree on FEHBP and Optima insurance. I recently received a notice that my co-pay for HIV drugs were increasing. Currently I pay a $30 co-pay for Truvada and Kaletra. Starting Jan. 1, 2014, the co-pay will increase to 50% on the market value up to $250 for each prescription. Also these meds now have to be mail ordered rather than local pickup. I was told when I questioned the letter that OPM had directed the change to provide more funds to the ACA.
David - WSJ has copyright to its story. That's why POZ provides summaries. Although you may see bloggers and other sites do it, no credible media source will just pick up the entire text of a story from another media source without compensation.
It's be nice to be able to read the whole article but it can't be done without logging into WSJ ... and I don't feel like I want to create an account there. Can't POZ just post the whole article???
Two plans in TX do not allow combination therapy, you have to use each component separately. I don't know if they are trying to save money or keep PLWHA off of their plans but they are taking many steps backward in the area of adherence by forcing people to take more pills than is necessary. Advocacy groups around the country are working on getting these and other insurers doing the same thing to change the policy. I know at least on insurer in CA has changed theirs because of these efforts.
Despite the fact that I'm a long term survivor that works independently making a modest income, I get no subsidies even though I am a long term survivor at risk of aging co-morbidities. The cheapest plan on the exchange will cost me around $500 per month to the best plan that I need at around $1000 per month. It is not affordable for long term survivors who are thriving and self-employed. Read my story on hivandhepatitis.com
thomas
My co pay went from $55.00 to $574.91 I have been off my meds for 23 days, I have no alternative, no patient assistance, ADAP was cut last year, the truly sad part is no one cares.
February 23, 2014 • USA