51-year old Jan Dwyer was diagnosed with Multiple Sclerosis back in 19-96. At the time she was placed on a medication called Avonex to help slow the progression of the disease. At the time her insurance company made her pay $15.00 a month for the injectable drug that retails for about 15-hundred dollars. Beginning January 2006 her insurance said they would no longer for the drug. As a consolation the insurance said they'd place her on one of the dozens of Medicare Part D programs for her beginning January.
What a surprise she got when she stopped at the pharmacy to fill her prescription.
" About $350 dollars a month for the shots. When you are on disability you know you just can't do that."
The program she was signed up for was going to cost her more than one-hundred-percent of what she normally paid. She asked her husband Michael to look on the internet and find a plan that would work. So far that three-hundred-50-dollar a month fee for the medication has not gone away..Michael says it's a case of pay me now or pay me later. Plans either want three-hundred-50 dollars now...or when Jan's drug costs hit two-thousand -two hundred-50--she'll get no coverage until she pays about 28-hundred dollars.out of pocket for a portion of the year.
" I mean that's when I panicked and realized there are probably a lot of people out there what don't have the medications covered and it isn't a medication you can just stop. What do you do? "
To add insult to injury, a new study shows almost one third of medicare part d patients who were automatically placed on a plan are not fully covered for commonly prescribed under medicade.
Nevada is one of a handful of states where people are most likely to be on plans that cover 85-percent of less of the one-hundred 78 commonly used drugs.
The most commonly omitted drugs are those medications used to regulate high blood pressure, cholesterol, and pain.