← Return to Entresto. Would appreciate any discussion, pros, cons.

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Profile picture for abob @abob

Great thing is that there is no donut hole this year. Part D out of pocket max is $2000.

But pls note that sone “drugs” like chemotherapy and immunotherapy are covered under Part B.

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Replies to "Great thing is that there is no donut hole this year. Part D out of pocket..."

@abob
I am not on Medicare Part D. I retired from the federal government. I have BCBS full medical and prescription plan (you pay a premium) that I kept after retiring. It covers my prescriptions and my wifes. BCBS gave us the option about a year ago to go to a BCBS Medicare plan that basically followed what Medicare would pay for. I declined and stayed on my full FEP plan as had a ton of more paperwork and a lot of prior approval paperwork and only giving 30 days of a drug versus 90 day on some, not all, of our medications.

My wife is a diabetic. Medicare is supposed to cover her insulin under Part B. But we can't find a pharmacy that understands they need to file the cost for the insulin to part B Medicare not prescription part D. So we pay the 60.00 co-pay that my BCBS charges as we gave up with all the red tape.