Meds, Mind, Body & Benefits > Insurance, Benefits Programs & HIV

Questions about US Medicare

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Dogman:
Hi,

apologies in advance, but I was wondering if anyone had experience with Medicare and it's coverage of HIV medications. 

I will be applying for medicare next year, and have read as much as I can on HIV coverage, but between donut holes, and other absurd terminologies,  I can't figure out what I will actually have to pay in terms of plans and drugs. I also think if you mess up that initial application, you can be penalized or never get the option to fix it - which doesn't sound right - but who'd know.  Would appreciate any advice or perhaps an organization in the US that would know and could help.

Tonny2:




         ojo.           Hello there!… I sent you a p.m. with my experience with Medicare. I hope someone else chimes in with information I Medicare. In my case, I have Medicare part A and B and I kept my private insurance. Between Medicare and private insurance they pay hundred percent of my medical visits. My medications I get them through my private insurance because it’s cheaper for me that get them through Medicare part D….hugs

MitchMiller:
In 2025, Medicare part D out of pocket limit is supposed to be $2000.  That said, Republicans are trying to repeal this change so whether or not it actually takes effect may depend on who is the next US president.

https://www.aarp.org/health/medicare-insurance/info-2024/out-of-pocket-cost-analysis.html

Also note that if you decide to go with Medicare Advantage instead of original Medicare, you need to understand that you may be denied coverage from a Medigap (Supplemental) plan if you decide to switch to original Medicare in the future.  If you need help deciding, SHIP should be an unbiased source.

https://www.shiphelp.org/

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