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Author Topic: Just received notice of Medicare approval  (Read 2010 times)

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Offline RedBear

  • Member
  • Posts: 34
Just received notice of Medicare approval
« on: November 21, 2010, 03:10:05 PM »
So very confused. Anyone with experience with part D  and ADAP in Georgia?
Finish each day and be done with it.  You have done what you could.  Some blunders and absurdities have crept in; forget them as soon as you can.  Tomorrow is a new day.  You shall begin it serenely and with too high a spirit to be encumbered with you old nonsense. 
                              Emerson

Offline Jeff G

  • Administrator
  • Member
  • Posts: 10,810
  • How am I doing Beren ?
Re: Just received notice of Medicare approval
« Reply #1 on: November 21, 2010, 03:31:38 PM »
So very confused. Anyone with experience with part D  and ADAP in Georgia?

I have found that any local Pharmacy can be very helpful if you need help choosing a part D provider . You can also go to the medicare website and compare options on line for yourself .

If you are going to get your medicine from ADAP you local ASO or your healthcare provider can assist you .
Do not be alarmed if you don't understand the system , half of the experts get confused sometime also because things change so often ... good luck !!!    

Granny60

  • Guest
Re: Just received notice of Medicare approval
« Reply #2 on: November 21, 2010, 10:08:34 PM »
Some states ADAP will help pay your premiums if you need the assistance. Congratulations on getting the medicare.  so far I have only met 1 person around here that could ever get it and they moved here from out of state.  They still insist that  I have to wait 5 more years and hubby has to wait 15 more years.  ::)

Offline aztecan

  • Member
  • Posts: 5,384
  • 29 years positive, 56 years a pain in the butt
Re: Just received notice of Medicare approval
« Reply #3 on: November 21, 2010, 10:46:18 PM »
Hey Redbear,

First and foremost, have you applied for extra help from Social Security? If you qualify, that will help cover some of the costs.

Also, Medicaid may be helpful, depending on your income level.

Are you enrolled in an ASO? If not, you should consider it because they can be very helpful in situations like this.

HUGS,

Mark
"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline tednlou2

  • Member
  • Posts: 4,763
Re: Just received notice of Medicare approval
« Reply #4 on: November 21, 2010, 11:30:35 PM »
I know here in KY, you can get Medicaid to pay your Part D premiums, co-pays, and deductibles.  You can get a prescription drug plan where you pay just $2.50 for generics and $6.30 for brand name.  So, you'd pay just $6.30 for HIV meds--since I don't believe any are available as a generic here yet??  And, when they and you pay out $4,000 something, you will pay ZERO dollars. 

The financial cut-off to receive this help is $1,100 or somewhere around there.  I don't have the exact figures.  I believe the cut-off is actually higher, but not sure.  Here, they will also pay the $110/mth premium for Medicare Part B.  If you make less than $923, they will also give you a Medicaid card that will pay the 20% that Medicare doesn't pay. 

It is called QMB.  You should definitely check it out.  I'm sure the rules may vary state to state. 

Offline RedBear

  • Member
  • Posts: 34
Re: Just received notice of Medicare approval
« Reply #5 on: November 23, 2010, 01:17:00 PM »
I appreciate all the responses.  I do go to the ASO here in Atlanta.  I went to a case manager thEre and when I talked to him about Medicare and which plan was best, how it worked with ADAP, he had a confused look on his face.  he has no experience with Medicare at all... Been reading anything I can find on this.  Presently I get my meeds from the ASO clinic through ADAP for HIV, other meeds from Ryan white.  I take about 14 different meds a day (only two for HIV), so I'm freaked out about the doughnut hole. Guess i'll keep on plugging away at it.  Thanks again everyone for you assistance.   
Finish each day and be done with it.  You have done what you could.  Some blunders and absurdities have crept in; forget them as soon as you can.  Tomorrow is a new day.  You shall begin it serenely and with too high a spirit to be encumbered with you old nonsense. 
                              Emerson

Offline denb45

  • Member
  • Posts: 5,051
  • "1987 Classic Old School POZ+"
Re: Just received notice of Medicare approval
« Reply #6 on: November 23, 2010, 01:33:29 PM »
If your on your States ADAP, like I'm and most others are, then you really have nothing to worry about as where you'll get your HIV-MEDS as for all of the other MEDS, I doubt the cost of any of them will put you into a donut-hole, you cannot use Medicare part D and be on ADAP at the same time, at least here in New Mexico that's the way it works, it's one or the other not both  ;)
« Last Edit: November 23, 2010, 01:41:03 PM by denb45 »
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

 


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