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"Pre-Existing" Illnesses Pay More

Mike

Well-known member
It's time to scrap the whole thing and start over.

People with serious pre-existing diseases, precisely those the president aimed to help with ObamaCare, could find themselves paying for expensive drug treatments with no help from the health care exchanges.

Those with expensive diseases such as lupus or multiple sclerosis face something called a "closed drug formulary."

Dr. Scott Gottlieb of the American Enterprise Institute explains,"if the medicine that you need isn't on that list, it's not covered at all. You have to pay completely out of pocket to get that medicine, and the money you spend doesn't count against your deductible, and it doesn't count against your out of pocket limits, so you're basically on your own."

The plan had claimed it would rescue those with serious pre-existing conditions.

"So it could be that a MS patient could be expected to pay $62,000 just for one medication," says Dr. Daniel Kantor, who treats MS patients and others with neurological conditions near Jacksonville, Florida. "That’s a possiblity under the new ObamaCare going on right now."
 

Steve

Well-known member
"if the medicine that you need isn't on that list, it's not covered at all. You have to pay completely out of pocket to get that medicine, and the money you spend doesn't count against your deductible, and it doesn't count against your out of pocket limits, so you're basically on your own."

this is basically what I was complaining about with TRICARE a year or so ago..

one of the ways they cut cost is to exclude what they consider high cost medications..

add in if it is an off-label use it is considered fraud..

for example someone with MS getting Gabapentin/Neurontin prescribed is committing fraud.. it is only approved for seizures.

and the list goes on.. as there are hundreds if not thousands of off label medications..

and that isn't the worst of it.. the discount they get.. well you don't get it either..

my medications went from costing me just under a hundred a month to well over $600 in one month after the changes went into effect.

I didn't mind paying some,.. or even a bit more to keep their cost down..

but not all especially for a service connected (directly caused) illness.

but thanks to their stupidity,.. the VA now picks up the entire tab..



oh on one of the drugs they denied.. my co-pay was $5 for a thirty day supply..

it cost them just under $4 so by canceling it.. they lost money.. :shock:

unfortunately I couldn't get the same deal ..
 
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