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Profile picture for Jeff Marchi @jeffmarc

@brianjarvis
I wish that was enough.

In 2023 my medical provider decided to charge for Lupron shots. I was charged $800 for a six month shot. The three month shot would be $400.

Yeah, if I ever exceeded my part B minimum of about $8000 I wouldn’t have to pay anymore, but I have never reached any thing even close to half that.

Part D on the other hand exceeds the $2100 limit with the first order of Nubeqa In January. And from then on all my drugs are free.

I switched from Lupron to Orgovyx Because of that. Then I found it gave me a fewer hot flashes.

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Replies to "@brianjarvis I wish that was enough. In 2023 my medical provider decided to charge for Lupron..."

@jeffmarc I’m familiar with Medicare Parts A, B, and D. I also have a supplement (Medigap) plan. I’m unfamiliar with any “minimums.”

When I had my two Eligard injections (April & July 2021), Medicare Part B covered 80% of the cost; the supplement plan covered the rest. (I had no out-of-pocket costs.)

The supplement plan provider cannot “decide to charge for…..shots.” Whatever Medicare determines is covered, the supplement plan provider must cover their 20%.

Do you have Medicare Part B + Supplement plan? Or do you have a Medicare Advantage plan (that contains Parts A, B, & D)?