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<blockquote data-quote="kerley" data-source="post: 1398303" data-attributes="member: 7335"><p>Anyone having problems receiving their Medications through Medicare/ private Ins.</p><p>When I was diagnosed with RA my MD. ran a blind test on me and determined that I needed Celebrex and Embrel. My Insurance Co. [PERS] informed me that the two drugs would have to be approved by Medicare because of the Obamacare rules. The battle began. Finally, after much debate, the drugs were approved but at a higher deductible. Through PERS, our deductible is decided upon your rank at retirement. At retirement, the deductible for me was $10. for a ninety day supply of each script. When Obamacare began the deductible jumped to $25. for a thirty day supply of each script [Celebrix and Embrel] Last month I was notified that my Deductable would be $50. per thirty day supply. When Kathy inquired why she was told by PERS that Obamacare was the reason. Kathy filed a grievance and now we are told that I no longer qualify for the prescribed Medication unless I pay the $50. per month for each. Are any of you folks having this problem with your Insurance Companies?</p></blockquote><p></p>
[QUOTE="kerley, post: 1398303, member: 7335"] Anyone having problems receiving their Medications through Medicare/ private Ins. When I was diagnosed with RA my MD. ran a blind test on me and determined that I needed Celebrex and Embrel. My Insurance Co. [PERS] informed me that the two drugs would have to be approved by Medicare because of the Obamacare rules. The battle began. Finally, after much debate, the drugs were approved but at a higher deductible. Through PERS, our deductible is decided upon your rank at retirement. At retirement, the deductible for me was $10. for a ninety day supply of each script. When Obamacare began the deductible jumped to $25. for a thirty day supply of each script [Celebrix and Embrel] Last month I was notified that my Deductable would be $50. per thirty day supply. When Kathy inquired why she was told by PERS that Obamacare was the reason. Kathy filed a grievance and now we are told that I no longer qualify for the prescribed Medication unless I pay the $50. per month for each. Are any of you folks having this problem with your Insurance Companies? [/QUOTE]
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