Medicare<>Humana<>Oxicodone?

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Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 12/5/2011 6:19 PM (GMT -6)   
Greetings to all my Fams, Peeps & Newbee's and Happy Hollidays w/ little or No Pain!!!!! I have a question for anyone who's on Medicare. I have finally been put on Medicare as of 12/1 and have signed up for the Humana HMO. I was going to get the PPO but after checking, all my Dr's were on the plan so I opped for the cheeper HMO. After checking through all my scripts against their givin Cat # from Humana, I was shocked to see that all my scripts were Cat #2's except oxicodone!!! It is listed as a Cat #3 evan though I know it's cheaper than some of my other meds!! This makes me think that the insurance co. is trying to get you not to use it???? I may be wrong about my copays but I believe all of the Cat #2's are $5.00e and the only Cat #3 (my oxycodone) is $30.00e!!!! I really think it's out of line for my Ins. Company Humana!! Are they trying to blackmail me into taking something else, probably just because of all the contravercy surrounding this drug!!! It just seems a little crazy to me!! Does anyone else have this problem or anything simmilar?? I just don't get it!!!???!!!
Sorry I haven't been around for a while> It's been a wild ride in Peteworld lately & the Pain> Oh the pain!!! It's a Monster<>Delux!!! To many areas to evan start talking about! Pain = No Fishing>> GRRRRRRR!
Still Love All Y'all!!!
Pennyless><Pittyfull<> Pete

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 12/5/2011 8:31 PM (GMT -6)   
I am sorry this is happening.  But you have many choices with Medicare, and I have been on Since June 1001, The Books they mail you each year, except this year I am told they are 8 weeks behind.  Now this would be fine, if I didnt have to make any changes since he deadline to make changes is Dec. 7.
 
I got on line and of course the book is there, but its difficult enough reading it, reading on the computer, not goin happen, at least with me.  I have to read the book as least 4 times before I understand any changes that are going on.  This year for the first time, things are looking up for people on Medicare, I have been told that, and I did read that part on the computer.  But I want my book.
 
Sorry for ranting, now I forgot what the problem was in the first place, oh yeah, I read it again.  Well the insurance companys are our biggest problem that we all have, the healthy,(for now) the in between, the disabled.  They dont discriminate, they unload on all of us.
 
So good luck, and take care,
Kathy
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9664
   Posted 12/5/2011 8:51 PM (GMT -6)   
So very Sorry, your having to go thru this Pete, we had Humana two years ago and
they are considered the worst...and they'll deny a lot too...Humana
declined a procedure that might have helped me...but heck everything is in
the insurance companies hands anyways...we just jump thru the hoops...
If you got time consider another company, make sure you read all the fine print,
most medicines execpt for antibotics will probably be class 2 or 3...Hope
your doing good health wise and give us an update soon...luv ya, hope your
sons will be home for Christmas...I wishing for Rain for Christmas...Texas
needs it....well wishes and thinking of you...
**********************************************
* So many dx's I could write a book* "It would be nice if we could use the edit button in real life"...
********>^..^<********>^..^<*******

bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 12/6/2011 5:46 AM (GMT -6)   
Pete, I get to start my medicare on 12/1 also but back to your question. The drug part of medicare is part D which I declined, did pick up the part A&B though, because I carry my husbands insurance yet but my father is on medicare and needed part D. I went to a local insurance company and they have a nifty computer program where they put in all of your current meds and it brings up a list of providers that would be the most cost efficient for your current needs. Of course things could change through the year to blow this out of the water but that can happen with anything.

I know you can combine the A & B with the part D but with dad I went with Anthem BCBS for the part A & B and Wellcare for the part D. When I first had to sign him up I was lost on where to go or how to do it, way too many options. The local insurance guy was a god send and I went to school with his mother so I felt comfortable with him.

This may be an option for you but you gotta hurry!
---Jag---


DDD, osteoarthritis, facet syndrome, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus surgeries left knee 2000 & 2002, buldging disc L-2/3 & L-3/4, fibromyalgia, polymyalgia rheumatica

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 12/6/2011 4:06 PM (GMT -6)   
Lots of times it's cheaper to get generics without using insurance. The stuff we need usually doesn't get covered by the cheap deals though.

Then there's drugs for which you need prior authorization, or which can be part B or part D. If something can be part B, the doc orders it, doesn't have to pay anything himself, but gives it to you in the office or has it sent to you. If you have a copay or deductible you get billed by insurance but at a different rate than part D.

To understand all this I had to call the company and get the poor girl on the phone to go to 2 different supervisors to get it explained. Well, that's what they get paid for, and I'm nice and thankful.
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