--- 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 








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