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To: blueplum

“… Aduhelm, an Alzheimer’s drug approved by the US Food and Drug Administration in June over the objections of its advisers. Some experts estimate it will cost $56,000 a year. Medicare is deciding whether to pay for it now on a case-by-case basis.

Because Aduhelm is administered in physicians’ offices, it should be covered under Medicare Part B, not Part D plans, which pay for medications bought at pharmacies. Traditional Medicare enrollees have to pick up 20% of the cost of most Part B medications, which would translate into about $11,500 in out-of-pocket costs for those prescribed Aduhelm.…”
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Damn! That’s a lot out of pocket for one drug. Is there sone sort of yearly max?


12 posted on 11/12/2021 10:00:00 PM PST by House Atreides
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To: All
. FB754817-1-AB7-49-DB-A4-FD-2-F20-EF901733

The simple plan is to usher in Marxism.


We’ve already seen the middle class opinion drastically reduced with only representatives on TV spouting only Propaganda while the ruling class gets new perks (new $50,000 tax exemption for Media members).


15 posted on 11/12/2021 10:06:07 PM PST by AnthonySoprano (‘’)
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To: House Atreides

Part B Supplemental?


17 posted on 11/12/2021 10:12:51 PM PST by CatOwner (Don't expect anyone, even conservatives, to have your back when the SHTF in 2021.)
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To: House Atreides

And yet cancer drugs are not covered under Part D. I believe I’m right on that one.

ONE DRUG impacts the entire system for a few people so ONE company can get paid by the giverment what nobody else can afford to pay them.

I smell a rat and a stinking rotting fish head.


22 posted on 11/12/2021 10:19:47 PM PST by Sequoyah101 (Politicians are only marginally good at one thing, being politicians. Otherwise they are fools.I ha)
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To: House Atreides

There is a lifetime cap, don’t know about annual.

Half a million, or a million. Somewhere around there. Medical industry would like to maximize medical spending.


36 posted on 11/13/2021 1:55:26 AM PST by Cboldt
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To: House Atreides

“Damn! That’s a lot out of pocket for one drug. Is there sone sort of yearly max?”

It doesn’t work, so no matter. Just another corrupt FDA favor to Big Pharma.


40 posted on 11/13/2021 3:40:10 AM PST by DAC21 ( A minor)
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To: House Atreides

Medicare Advantage plans (also called Part C) have a yearly out-of-pocket maximum for Part B services. Most of these limits are lower than $3,000/year. If this drug is covered under Part B then the retiree would not suffer a huge financial loss. Chemotherapy, for example, is covered under Part B.

All bets are off, however, if the drug comes under Part D. There’s no yearly limit per se to your cost. There are four different coverage stages you have to go through before Medicare will pay most of the costs of these expensive prescription drugs. In most of the plans you have to pay at least $6,500 in a given year before costs go way down.

The brand-name drugs we see advertised constantly on TV in those glitzy commercials are all VERY expensive, thousands of dollars each month in many cases. Best to avoid them if you can.


73 posted on 11/13/2021 8:36:26 AM PST by Deo volente ("When we see the image of a baby in the womb, we glimpse the majesty of God's creation." Pres. Trump)
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