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Brinsupri follow-up

MAC & Bronchiectasis | Last Active: 21 hours ago | Replies (429)

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Profile picture for kathyjjb @kathyjjb

@sueinmn I may have over generalized. That said, I have noticed there are better insurance plans out there for Federal employees, Military, and of course our politicians. My current plan only pays 60% for Tier 4 and 0% for any tier 5 medications. I may look at supplement plans again, but my situation is different from most: I am a single parent to my adult son with Down Syndrome, and we get 0 support from his father-hasn't seen him in 20 years-not a penny sent his way. Most people don't get that it's almost impossible for someone to even have a job in my situation, particularly since he has had health problems. Fortunately, I was able to do self-employment. The bad news is my work has most likely been the cause of me contracting both BE and MABC. So, consider yourself extremely fortunate.

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Replies to "@sueinmn I may have over generalized. That said, I have noticed there are better insurance plans..."

@kathyjjb Even with government plans there are huge differences in coverage and co-pays depending on which you choose and the premiums you are willing/able to pay. We had the same plan for many years, but once on Medicare it was lousy. We changed to a large national plan, and it covers care much better. We almost always get a "yes" right away on medical care. I'm not sure what Tier 5 is, our pharmacy only lists through Tier 4. But you can petition for coverage to specialty drugs and sometimes get them. My brother has been successful, my sister-in-law has not . We think it might be who the Pharmacy Benefit Manager is in their separate states.