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A myRAteam Member asked a question 💭
Marshall, IL

I was wondering how Medicare and RA and Lupus drugs work. I start Medicare March 1st. I think they told me that I can apply for a drug plan or something else starting December 1st. They did check my medication for part D and said xeljanz is not covered. I believe it is a tier 5 drug. All the other medications RA medication made me very sick even humera and enbral. Can anyone tell me about how to do part D or Medigap or advantage and how do I get my medication paid. Just wondering if anyone can… read more

November 25, 2020
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A myRAteam Member

Whatever you do get Medicare Part D now. If you don’t it will cost substantially more in the future. Supplemental insurance usually covers most of what Medicare doesn’t. Medicare pays first, then whatever else insurance you choose kicks in.

November 30, 2020
A myRAteam Member

Very good advice. We have friends who chose to not take the extra coverage when they were first eligible. They now pay more for that coverage. It is significantly more.

November 30, 2020
A myRAteam Member

I think that you have to get another health insurance to pay for your drug's like bluecross blueshield, are Humana it will cost you more but then I think that you will be able to get the five dollar card again good luck to you and let me know what happens

November 25, 2020
A myRAteam Member

This all varies by the specific medication. When my rheumy was talking about putting me on Humira, it was going to cost me $2,000 per month out of pocket. If I did not have Medicare it was going to be about $5 per month. Since I have medical coverage, the company would not give me the script card that others could receive. I don't know about any other meds except Methotrexate, which costs me nothing until the Medigap hit. Then, it was going to be $200 per month. I checked with GoodRX and it was about $20 per month, much better. Just check all resources available. Good luck with getting this figured out.

Pat

November 25, 2020
A myRAteam Member

Hi, I am 63 and not on Medicare yet. But my moms insurance changed and I had to get her a medigap plan to supplement her Medicare. The lady I spoke with was awesome. I told her I would contact her when I go on Medicare and she said yes. Maybe she can help you. Vicky Jordan (Phone number can only be seen by the question and answer creators). Good luck!

December 3, 2020

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