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Wellness Wednesday: Medicare Update for Diabetes Patients

If you use insulin and on Medicare, then this information is for you:

Due to the signing of the Inflation Reduction Act was signed after premiums and copays were set on Medicare’s Plan Finder, the $35 insulin copay was not included. Therefore, the Center for Medicare Services (CMS) created a Special Enrollment Period for people who use insulin.

People on Medicare have until December 31st can change their Part D coverage.
If you use a covered insulin product and decide you’d like to be in a different Part D plan for 2023, you can change your coverage one time between now and December 31, 2023.

Call 1-800-MEDICARE if you take insulin and want to change your plan. Your true out-of-pocket costs will carry over from your old plan to your new one.

#DiabetesType1 #DiabetesType2 #Diabetestype3 #lada #mody #JuvenileDiabetesType1 #ChronicIllness #AutoimmuneDisease #Health #HealthCare #Medication #HealthInsurance #Lifestyle #Support #SupportGroups #MightyTogether

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I hate this country #PTSD #Disability #ChronicIlless #treatmentresistant #HealthInsurance #Poor

I want to bash my head in. I want to scream on the top of my lungs. I am so angry and I don’t want to fall back into behaviors that slowly kill me.

I can’t do this.

Any appointment I’m ABLE to get, is so complex I don’t understand. Referals, we don’t take your insurance.

No one takes my insurance!!! Medicaid doesn’t cover medications!!! Are you over 18? Then we need a million prior authorizations!! But wait!! Never mind because you’re too old for the medication, per us insurance!!

Your sick?! Need meds?! YOU GOT IT!

JUST KIDDING THEYRE NEVER COVERED!!

Have no job because you can barely keep yourself safe?!?! TRY OUR MEDICAID AND GET NO MEDICATIONS OR SERVICES YOU NEED!!

NEED TO SEE NEUROLOGY?! FORGET IT WITH MEDICAID!

NEED TO GET VIRAL MEDICATION?! FORGET IT WITH MEDICAID!!!

It’s just a big FU to anyone who can’t take care of themselves, the way the country wants.

I fucking hate it here. Why do I try? Why do I fight so hard when there’s 10,000 roadblocks in the way.

Fighting for disability, with a lawyer, who told me I’m going to get denied again. I WENT AND GOT ALL MY RECORDS BECAUSE THEY DIDNT.

I get told by my lawyer, THAT THE STATE ISNT GOING TO READ EVERY PAGE.

WHY THE FUCK AM I FIGHTING THEN?!?!

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United Health Care Pushing Opioids Instead of Covering Procedures

Now let me start by saying I'm not adverse to opioids in the right circumstances, but we all know what a mess Purdue Pharma and others have made. Anyhow, my partner's back conditions continue to worsen. He's tried every single treatment available to him. Nothing works except a Radio Frequency Ablation which has to be done every 6 months. At the end of the 6 months period last time he had a job change which of course means a change of health insurance. He went from BCBS which was amazing for him to United Health Care and Oxford. They have basically tried to kill him over and over again.
Their latest idea was to put him through unnecessary test injections before the RFA which they openly approved as medically necessary. Then even though he had over 80 percent reduction in pain, they denied it as not medically necessary. They did it all through the appeals process and it is abhorrent.
Then the other day we get a call from one of the insurance reps asking about his conditions and openly pushing opioids as an alternative to the surgery when he first off can't take them because the interactions with his medications (which he had just finished confirming his med list with the rep) would be catastrophic. It is just beyond horrific honestly. And after the first no I'm good on Opioids, that should have been the end of it. In fact it shouldn't have even been brought up by them as a suggestion. It was terrifying honestly to think that this is still happening despite court cases and the amount of public backlash and everything. Direct from the of course publically traded United Health Care (and of course the whole Optum Pharmacy management branch who they own). I am appalled. I am disgusted. I am beyond enraged.
#opiod #medications #AnkylosingSpondylitis #MentalHealth #Fibromyalgia #CPTSD #ChronicIllness #Migraine #UnitedHealthCare #HealthInsurance #ADHD

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My insurance company has stopped carrying my incontinence briefs! I have Lupus, and have bowel/bladder loss, especially when I’m in a flare. I also have IBS and often just can’t get to the toilet on time. I’ve had tremendous luck with the company that’s been supplying my briefs for more than two years, but when I tried to make my usual Rapid Repeat Order, I was sent to a customer service agent. They no longer carry my briefs! They are phasing out their plastic backed briefs for breathable briefs. They sent me a sample to try; it was flimsy and it leaked. They are sending a different sample to try. I found my preferred briefs on Amazon, but my insurance pays for them and it was not an easy process. Does anyone know if different incontinence companies carry different products? Are all plastic backed briefs being phased out?
#Incontinence #IncontinceBriefs #HealthInsurance

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Wellness Wednesday: Health Insurance Coverage

Do you plan on upgrading your health insurance this year or getting new coverage altogether?

My fellow advocate from Beyond Type 1 & 2, Julia, wrote a fantastic guide on selecting health insurance coverage:

HEALTH INSURANCE 101: SELECTING THE RIGHT PLAN FOR MANAGING TYPE 2 DIABETES
Health Insurance 101: Selecting the Right Plan For Managing ...

❓What challenges you’ve experienced in selecting health insurance?

❓What was one takeaway from the article that you will use in selecting health insurance coverage?

Share your thoughts in the comments?

#Diabetes #DiabetesType1 #DiabetesType2 #Diabetestype3 #lada #mody #prediabetes #GestationalDiabetes #JuvenileDiabetesType1 #ChronicIllness #AutoimmuneDisease #Lifestyle #HealthCare #HealthInsurance #Support #SupportGroups #MightyTogether

Health Insurance 101: Selecting the Right Plan For Managing Type 2 Diabetes - Beyond Type 2

In this guide, we share four steps for selecting the right health insurance plan to help you manage your type 2 diabetes.
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Funny interaction

Dealing with the medicaid office can be stressful. I had to call them for the first time in my life but certainly won't be the last, but I thought I would share a little snippet of the conversation to bring a little bit of joy, cause I sure giggled about it later:

Worker: are you disabled?

Me: yes.

Worker: How long have you been disabled?

Me: since birth.

Worker: *shocked* excuse me? Since birth?

Me: *confused by reaction* yes. Since birth

This was genuine shock, the worker wasn't trying to be mean or judgemental. You would have thought that she never met someone that was born with their disability... Maybe she hadn't. Maybe she was surprised how calm and matter of fact I was and not shy about it. I don't shy away from facts. Still, the experience of it was so funny to me. I hope it brought a little bit of a smile to your face
#CentersForMedicareAndMedicaid #Disability #MentalHealth #HealthInsurance #funny #cerebalpalsy #Stroke #PediatricStroke

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Paying for an MRI/MRA

Hello Mighty Community! Does anyone have any advice on how to pay for an MRI/MRA? My roommate needs them. She’s on her parents’ insurance still but no one in her family has been sick this year so there’s been no movement on their deductible. It will cost her 6 months of our rent to get these done, which she can’t afford #ChronicIlless #MRI #Finances #Insurance #Health #Brain #HealthInsurance