June 27, 2011

Medicare Drug Donut Hole

Drug costs are very high. I have been an insulin dependent diabetic for 19 years. It is in my family genes. I went on Medicare 3/1/2011 and I have an insurance suplement. However because of the high price on my drugs and insulin I am already in the Donut Hole. All insurance covering medicare clients must go by the medicare donut hole. My cost is $300 + per month. I feel like the government and the pharmaceutical companies only want money, and not to help people. Also, this donut hole is going to make people stop taking their drugs, and they will die because they can't afford their drugs. I can't afford mine, but I also do not qualify for help. Without my insulin I will die, but the government and the pharmaceuticals don't care.

Thanks,

Nancy

Comments

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David Kochman

David Kochman commented on June 29, 2011

Communications Director

Nancy, thanks for sharing your story. Controlling diabetes through medication is vital to people like yourself, and BCBSNC helps thousands of North Carolinians afford such treatment. We understand there are many others like you who are feeling the effects of the “donut hole”. While we applaud your efforts to maintain your health and keep costs in check, we do not recommend or encourage anyone to forgo treatment for any medical condition. We encourage you and others in your situation to call the customer service phone number on the back of your BCBSNC member ID card so we can see if there are any specific BCBSNC programs available to help you manage your diabetes and cost while helping you get the care you need.

Karin S.

Karin S. commented on September 16, 2011

Community Member

I have had to stop taking my Lantus insulin as i am in the donut hole and can't pay for it,, and i do not qualify for extra help.. they say i make too much but they dont take into consideration that i live alone, my social security check pays my rent and that is not even enough..Rest comes out of my other disability check, and after paying electric, and utilities, nothing left over hardly for food let alone to buy my medications. I am a disabled nurse and so i have been on both sides of the bed. I am now only taking my humalog insulin as coverage and can't afford that anymore.. My blood sugars are now always at 250-350. So.. i am literally doing damage to my body, and well i'm sure to die.

Estay Greene

Estay Greene commented on September 23, 2011

Director, Pharmacy Programs

Karin – Thanks for joining this discussion. Here on Let’s Talk Cost we’ve heard many stories of people who are feeling the effects of the “Donut Hole,” but we don’t encourage anyone to forgo treatment for any medical condition.

Are you a BCBSNC member? If so, we encourage you to call the customer service phone number on the back of your BCBSNC member ID card so we can see if there are any specific BCBSNC programs available to help you manage your diabetes and costs while helping you get the care you need.

This discussion certainly brings to light the urgency needed to rein in medical costs. We hope you’ll continue to share your experiences and ideas with us.