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What Insurance Companies Will Allow A 90-day Supply Of HIV Medications?

What Insurance Companies Will Allow A 90-day Supply Of HIV Medications?

I'm on Medicare and have a Medicare Part-D supplement which covers the cost of all my medications with a deductible. The deductible for my HIV medications is about $6000 per year plus the cost of the insurance. Luckily Hawaii's ADAP (state health dept drug assistance program) pays for the insurance plus any HIV related deductibles.

ADAP is now willing to pay for 90-day supplies but my supplemental insurance, Humana will only allow a 30-day supply. ADAP is encouraging me to find an… read more

A myHIVteam Member said:

Im with blue cross blue shield i pay 10 dollars a month and my medicine is 15 for each bottle i get of a 90 day supply my pharmcy automatically fill them for me

posted 10 months ago
A myHIVteam Member said:

Well my friend I'm so sorry to hear you are dealing with that kind of issue cuz you need your medicine I'm on Medicaid Actually I don't pay for anything plus I deal with the Ryan White project so everything is free for me I'm I wasn't realizing how expensive it is just to take care of yourself now I do realize it now I don't know if my friend I definitely will be asking some of my friends through fahass what kind of programs or something that you could possibly get on. I can't even imagine paying that.

posted 10 months ago
A myHIVteam Member said:

@A myHIVteam Member, I checked out the site you mentioned but it's there to just sell one Medicare Advantage plans as a replacement to Medicare, not supplemental Part-D plans. Really appreciate your assistance though 😛

edited, originally posted 10 months ago
A myHIVteam Member said:

During the COVID-19 pandemic, Medicare drug plans must relax their “refill-too-soon” policy. Plans must let you get up to a 90-day supply in one fill unless quantities are more limited for safety reasons. ... In some Medicare plans, your prescriptions are only covered if you get them filled at network pharmacies.

posted 10 months ago
A myHIVteam Member said:

@A myHIVteam Member
If you have a case worker that handles your ADAP or Ryan White or both they should be able to help find a good plan for you or the right plan for you in your area. Every state has different requirements and guidelines.
I tell you this because work for the Federal Call Center (Health Insurance: Medicare and Marketplace). Plus I sell them on the side as well with my business.
Check with your ADAP or Ryan White CM first then if you want you can reach out to me.

posted 10 months ago
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