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Testosterone: Is everyone's level in the low numbers?

Prostate Cancer | Last Active: Sep 25 8:27am | Replies (44)

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@jeffmarc

If you are on Medicare, you should not have to pay $800 a month for the full year. There’s a limit of $8000 this year, that you have to pay, but that $8000 is calculated to include what the provider has to pay for it, the remainder of the $2,800.

This year I paid $2300 for my first month of Darolutamide, which retails for $13,000. That was all I’ve paid for the year. That hit the $8000 limit and I have paid zero dollars for all my drugs since that day, and that includes what I pay for Orgovyx.

Next year it’s a $2000 limit and also includes what the provider has to pay.

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Replies to "If you are on Medicare, you should not have to pay $800 a month for the..."

Yup, just have to see how the math turns out; went on it around Aug 4 so I will probably just hit the 8K max for the 2024 calendar year. Then another 2 months in ‘25.
Even my surgery was 2 months before I turned Medicare eligible😫 so that was a BIG out of pocket expense since the surgeon I chose did not accept my insurance. And now Sloan tried to get me financial aid for the Orgovyx and that went nowhere as well. Talk about not getting a break, huh? But I am more than grateful that years of hard work ARE paying off and my ‘savings’ are indeed being used to save my very life. Can’t complain!!