--- In [email protected], Rob <[EMAIL PROTECTED]> wrote: "Has anyone found a Medicare prescription drug plan yet that covers Gleevec without a large deductible and co-payment. We have been comparing various plans and most consider Gleevec as a Tier 4 drug and require a co-pay of 25% to 33% which would push the annual out of pocket costs for just Gleevec to as high as $15,000 a year (or even higher for those who are on high doses).
The only one we have found so far which does not have Gleevec in Tier 4 is Aetna. Has anyone had any experience with them and was it difficult to get them to certify Gleevec as a drug (it has to be approved by them). Rob" Rob, Well, I've checked out about 10 plans now and, you're right, most of them have Gleevec in Tier 4 (I wish someone would explain what "tier" means). Except for Blue Cross which places Gleevec in Tier 2 and the monthly co-pay is $25 or $30, depending on which Blue Cross plan you sign up for. But, of course, that's Blue Cross of California so I have no idea what other state's Blue Cross coverage would be. I also saw that Aetna Medicare Rx Premier (premiums are $51.84 a month vs Blue Cross' $35.29) has Gleevec in Tier 3 at $40 a month co-pay. Blue Cross and Aetna's annual deductible are both $0.00. But I don't understand what you mean about an annual out of pocket cost as high as $15,000, when I thought a patient only had to pay 5% after the so-called "donut hole" was met. Nancy B from California ------------------------ Yahoo! Groups Sponsor --------------------~--> Help save the life of a child. Support St. Jude Children's Research Hospital. http://us.click.yahoo.com/JrD4fD/lbOLAA/xGEGAA/8zSolB/TM --------------------------------------------------------------------~-> New! Sign up for local CML support group meetings in your local community at http://cml.meetup.com Apply for Commercial Real Estate loans online and submit your deal to dozens of hungry lenders in just minutes. Loan programs for all types of business and commercial real estate. Apply anytime at http://realestatezoo.com CML (Chronic Myelogenous Leukemia Support List) --------------------------------- Part Of CMLHope.Com An International Community Of CML Patients For more information: http://cmlhope.com Post Message: [email protected] Subscribe: [EMAIL PROTECTED] Unsubscribe: [EMAIL PROTECTED] Change To No Mail/Web: [EMAIL PROTECTED] Change To Digest: [EMAIL PROTECTED] Change To Email: [EMAIL PROTECTED] List Help: [EMAIL PROTECTED] CML Group Web Site http://groups.yahoo.com/group/CML Yahoo! Groups Links <*> To visit your group on the web, go to: http://groups.yahoo.com/group/CML/ <*> To unsubscribe from this group, send an email to: [EMAIL PROTECTED] <*> Your use of Yahoo! Groups is subject to: http://docs.yahoo.com/info/terms/
