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How did you obtain BRINSUPRI?
It seems many on this forum are taking Brinsupri. Assuming you are on Medicare I would really appreciate hearing how you got it approved. I know it currently requires a PA (prior authorization from your Dr). So the question is which Insurance approved it? Which Part D plan?
I never signed up for Part D so I must do that NOW so that my Dr can submit a PA to them. Brinsupri is not on any formulary lists and doubtful that it will be in 2026. So selecting a Part D plan in hopes that they will approve it, is just a gamble. In my area I have Wellcare, Silver Script, Humana, Medicare Blue and Health Spring (used to be Cigna) to choose from. Did you have success with any of those?
One person suggested that they “have to approve it” if a PA is submitted and there are no other choices etc. but I have learned that is not true.
My Dr really wants me to try it for my serious situation. Any insight would be greatly appreciated.
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Do you have a Senior Council on Aging in your area? Where I live there is one and they provide a lot of information and services that cover several areas such as ;
Council on Aging (FAQ). What services do you offer Senior citizens?
Information and Referrals -
Have a question? If we don't know the answer, we'll find someone who does or link you to an agency that will help you.
Legal Assistance -
60 years of age and up. Free Durable Power of Attorney, Living Will and Free Legal Advice.
Assistance/Referral -
Any client needing help filling out paperwork or needing help with anything: COA will assist or try and locate a resource for you.. Income Tax Preparation -We host RSVP tax aide volunteers. They prepare simple returns during tax season. We can provide you with information on other RSVP tax preparation sites.
Insurance Counseling -
Medicare, Medicaid, supplemental insurance and Medicare Part D evaluations.
Ceramic Painting classes -
Learn basic techniques, low cost. Contact us for day and time. Make new friends.
Special Assistance Services -
Provides grocery pick up service to those unable to drive or ride BRATS. Limited service area. Knitting and Crocheting class -
Bring your supplies and socialize. Contact us for day and time. Beginners and experts.
Senior Nutritional Centers - Five S.A.I.L. Centers in the county. Lunch is served Monday through Friday. Transportation can be arranged through BRATS . BRATS Nutritional Route Information. A variety of activities are hosted each month. Ask about our home bound meals.
Hurricane Reassurance - Helps seniors that will be staying home or evacuating to a shelter in the event of a hurricane. Emphasis is placed on the importance of having an evacuation plan, preparation, providing information pre and post hurricane. Seniors will be contacted at the beginning of Hurricane Season to review their information and plan should a hurricane threaten our County.
Consignment Senior Treasures Gift Shop -
Handmade items made by seniors of Baldwin County. Client gets 80% & County gets 20%.
Health Care Screenings -
Blood pressure checks at most of the Senior Centers.
Prescription Assistance -
Assistance with long term medications. You may qualify for free medication. This includes anyone 55 or older or (ANYONE, ANY AGE on disability).
VIAL of LIFE - provides valuable medical history/information to first responders entering your home. A Vial of Life decal is placed on your front door. First responders will then know to look for your Vial of Life information located on your fridge.
YELLOW DOT - works the same at the above VIAL of Life program, except this is information for is kept in the glove compartment of your car providing quick access to first responders. Supplies are limited. Yellow Dot Program information
Telephone Reassurance -
Friendly morning call to insure your okay.
Charitable Pharmacy -
Help with medications, without waiting for months. Must meet qualifications.
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3 Reactions@cwal
No do not have that in my area. Looking for an answer to my question posted above. Thanks.
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1 ReactionIf you have gotten Brinsupri through a part D plan please tell me which plan that was. Hope this is clear. Thank you.
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1 Reaction@irenea8 since you don’t have resources in your area or at least those that you feel you can trust, have you tried calling Medicare directly? I’m afraid you’re asking amateurs when you need a professional!
@irenea8
I understood your question. Please note that part of their services includes insurance and Medicare counseling which is why I thought this sort of service could be of help. Perhaps such a service exits in another nearby area?
@scoop
Maybe I am missing something but it seems that those who are receiving Brinsupri could at least pipe in as to how they got it covered. I would think that would give me the best insight. I doubt if Medicare would be able to suggest a plan D that might approve Brinsupri. But those who have ALREADY gotten it through Part D could say which plan worked for them? Am I misunderstanding something? Probably many have Advantage plans but some getting it must have a stand alone Part D that approved it.
@irenea8 I found this on another chat about Brinsupi. "Insurance for this is very personalized. It all depends on your plan with Medicare or your secondary. I have Part D as well as an AARP/ Medicare RX plan and other than an initial $1500 out of pocket charge I am fully covered. I am a patient at Mayo Jacksonville and had no problem getting a prescription from my Doc there."
I have the same plan which is United Health Care, parts A and B and D through AARP. In Florida when I subscribed years ago I called several doctors offices to see which one they liked best and who paid the bills, United Health Care came up repeatedly. Also AARP supports this plan. I have been on it for decades now and it is great if you sign up for the top plans they have.
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1 ReactionI just saw this on another site
Why does this site keep making me sign in every time I click to reply?!
Anyway, I’m wanting to know the same thing about how to get it
@picartist Is your United Healthcare plan, a Medicare Advantage Plan? Also, what is their listed copay for Brinsupri?