Tag Archives: the dreaded donut hole in healthcare coverage

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I think I MAY have solved the problem of continuing to receive a medication for my husband at a price we can afford.

We reached the ‘donut hole’ for the first time in our medical coverage. We would need to spend another $7500 this year in order to make our way out. If we DO spend that much, paying for prescriptions won’t be the largest problem! The prescription price for this med had quadrupled!

I reached out to our supplemental coverage and they agreed they could provide one month of the medicine before we actually reach the donut hole. I reached out to AstraZenega, filled out the form for financial help, only to be told on the insurance page – almost the last page on the form – that we didn’t qualify because we had supplemental coverage.

Since our doctor says this is the only medicine that will do what my husband needs, it’s important that we get it. I was told they no longer provide written paper prescriptions. I wrote again, explained that I can found a possible source we could afford, but we needed the paper prescription. Otherwise, my husband would have to do without the medication. She answered today, saying it would be waiting for us at the front desk. She also warned us that many places will not accept paper prescriptions anymore.

I thanked her profusely. We will pick it up tomorrow and start the procedure to see if the source will accept the prescription or not. It’s always something, but at least in this case, there is hope.

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Filed under Challenges, Changes, character-building exercises, taking care of yourself