Glad you’re still well
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Glad you’re still well
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Thanks for clarifying. Hope all stays in check.Originally Posted by Grabber
"Live every day as if it were your last. One day, you'll be right."
"The specialists learns more and more, about less and less, until he knows everything about nothing. The generalist learns less and less, about more and more, until he knows nothing about everything."
Went to pick up a prescription for my wife. Bill came to over $200 last time she said it was $40...
Donut Hole time...
She's on some high price meds. One was close to 2K (eye drops) but this year her doctor started her on some cholesterol meds (she's one that makes her own). I actually don't like him for the reason that he thinks drugs are the answer for everything and that we should all be 20 years old. The cholesterol and an injection for scoliosis are between 1500 and 1700 each. So 4 of these in the year pushed her over the limit.
Now her meds will be sky high (25% of retail) through the end of the year.
I've been trying to get her to go to a real cardiologist about the cholesterol. She finally agreed.
The scoliosis isn't diagnosed for real, just that she's getting some disc degenertion. Not that his expensive med will fix or prevent it. (I believe it won't). Hey, it sucks to get old.
I think this trained her to ask about prescriptions. Ask about both copay price AND retail price. He writes these and sends them to the insurance mail order for 90 day supply. I stopped him from automatically submitting mine that I wanted to investigate before. He wanted me to take one prescription sinus spray that was like $800. Turns out there is a generic OTC version that I used decades ago and it flat out didn't work.
Trump wanted to get rid of the donut hole. Biden squished it.
She also got her retirement raise in July. Last week came the letter from Social Security wanting to know what her new pension payment is so they can take more SS away. Trump wanted to get rid of this too, but the dems want to keep it. Oh by the way, who ivented the idea that state pensions are subtracted from Social Security? BIDEN!!! (When he was in the house.)
Cheers.
Tony
Nothing here yet.
What’s the donut hole?
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Don't ask questions that you may not want the answer to.What’s the donut hole?
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Details way too complicated to post, but basically when you are on Medicare, there comes a point in spending where you pay for ALL drug costs.What’s the donut hole?
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"Live every day as if it were your last. One day, you'll be right."
"The specialists learns more and more, about less and less, until he knows everything about nothing. The generalist learns less and less, about more and more, until he knows nothing about everything."
I'm feeling slightly better each day, but the opioid withdrawal has NOT been easy. Biggest symptom was constipation. Most people think of constipation as when you can't poop...but the symptoms are much broader than that and mine was moderate to severe abdominal pain...I almost went to the ER twice last weekend. Then there are the sweats, loss of appetite, fatigue, messed up sleep schedule, and more. I was in REALLY BAD shape last weekend for 3-4 days...finally went to my family doc and got pills for the abdominal pain...and 48 hours later I started to see some slight improvement.
I started tapering off the opioids about 16 days ago, and took my last one 7 days ago...but I'm still having some mild symptoms.
As for the knee, it's doing pretty good overall except I get a popping each time I go through the midpoint of a bend...but I have been told by my doc to expect this, and I even had to sign waivers saying that I understood there may be many complications and long-term effects, and "popping within the joint" could be one of them...so it's not like they didn't warn me.
I go to the doc and physical therapist again next Tuesday, so we will see what happens...but I'd say I'm 75% of the way through rehab now, but it may take me another 4-6 months to get the other 25%.
I do exercises 3x a day at home, takes me about 45 minutes each time. Then I am walking...started at 100 yards and now I'm up to 1/4 mile...trying to get eventually to about 1.5 miles. I also bicycle 3x a day...I have an indoor pedal machine I can use when dark or rainy, but I enjoy riding my bicycle outside as much as I can (usually 3x a day for about 20 minutes each time). if you add all this up along with taking meds and icing, I'm spending about 5 hours a day on exercises/rehab.
The one thing I haven't done yet is go up or down stairs the "normal" way. Currently I have to put my bad leg on step 1 first, then my good leg on step 1, then bad leg on step 2, good leg on step 2, and so on. Very slow this way, but there is still pain if I do it any other way. I think I'll get to a place where it's not painful, just will take more time.
"Live every day as if it were your last. One day, you'll be right."
"The specialists learns more and more, about less and less, until he knows everything about nothing. The generalist learns less and less, about more and more, until he knows nothing about everything."
Donut hole ("Medicare coverage gap") is when your prescription RETAIL COST total exceeds 4660. It doesn't matter what your insurance copay (out of pocket) is. So a couple of designer drugs (which the doctor likes to prescribe and was OK as long as there was only 1) and you quickly hit the hole. At that point you owe big time on prescriptions 25% of retail, until your out of pocket hits another ceiling.
https://www.medicare.gov/drug-covera...e-coverage-gap
Cheers.
Tony
Nothing here yet.
I never knew that, what a crock of shat that is.
Build Date: 09/26/06
Delivered Date: 10/13/06
709 out of 2694 Convertibles
44 out of 151 Tungsten Grey Convertibles
The happiest people don't have the best of everything, they just make the best of everything they have.
"It is not about how much money you make. The question is are you educated enough to KEEP it."
So if a manufacturer wants $20 for a drug and they know that they won't get 70% of that then what are the odds they are charging $34 for it so in the end they are still getting the $20 they wanted.
Build Date: 09/26/06
Delivered Date: 10/13/06
709 out of 2694 Convertibles
44 out of 151 Tungsten Grey Convertibles
The happiest people don't have the best of everything, they just make the best of everything they have.
"It is not about how much money you make. The question is are you educated enough to KEEP it."
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