How much did you spend out-of-pocket on all of your diabetes medications and supplies from the start of July through the end of September 2023?
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Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Manager of Marketing at T1D Exchange.
My out of pocket is very high because I am on Medicare and Medicare will not pay for the Omnipod Dash. I need Dash for my own reasons because I use Loop on my iPhone and I want the added control of automated closed loop, especially at night
Although I (continually!) answer this question the same, I am taking action this time. I am filing a small claims court complaint against the local CVS drugstore for continuing to charge $255 for $105 worth of 3 month insulin supplies.
It’s not the fault of the local store. They are great people and simply follow the CEO’s direction and command. She, incidentally, got a 4 or 5 million dollar pay raise.
I hope you all know that if you are on Medicare with a pump that all of your Insulin should be at 0 dollars. Find a pharmacy that will bill it under part B for a supply to your Durable medical equipment (pump). Medicare then pays for all of it and no co insurance or deductible involved.
In some ways, the question is misleading. For those of us with T1D and High Deductible plans, we hit our deductible amounts quickly. After that, except for prescription co-pays (for me $50 co-pay for insulin AFTER I hit my deductible), diabetes supplies should be covered at 100% (not all are covered such as skin preps).
$0. I live in the UK (United Kingdom of Great Britain and Northern Ireland), where ALL of my diabetes medications and supplies are paid for through our NHS (National Health Service), which is paid for via direct taxation of all working people.
All Inhad to paynfor was $135 copay for my 3 month supply of insulin and I purchased IV Prep for $25. Infusion sets, cartriges (resivors), and Dex 6 sensors are all covered 100%.
How much did you spend out-of-pocket on all of your diabetes medications and supplies from the start of July through the end of September 2023? Cancel reply
I spent $33 on glucose gummies
My annual insurance deductible is met, so my costs are finally reasonable.
My out of pocket is very high because I am on Medicare and Medicare will not pay for the Omnipod Dash. I need Dash for my own reasons because I use Loop on my iPhone and I want the added control of automated closed loop, especially at night
And I pay out of pocket because I choose MDI on Medicare. They would pay for a pump (not a pod) and the insulin. Go figure
$55 copay on Novolog insulin.
You didn’t ask, but $30 copay for Endocrinologist visit.
Humalog $105
Toujeo $105
Pen needles $9
InPen $60 ($238 year co pay)
About $2,600. I live in Canada and with a pre-existing condition I can not get coverage. Luckily all doctor visits are covered by the government.
Although I (continually!) answer this question the same, I am taking action this time. I am filing a small claims court complaint against the local CVS drugstore for continuing to charge $255 for $105 worth of 3 month insulin supplies.
It’s not the fault of the local store. They are great people and simply follow the CEO’s direction and command. She, incidentally, got a 4 or 5 million dollar pay raise.
Wish me luck. 🙂💪
@Ahh Life. My luck … and thoughts and prayers are with you, sir.
I certainly DO hope that you win your case.
have reached out of pocket max for a non-diabetes surgery. spent a little on meter strips (even though I have Libre2) and sugar pills.
I hope you all know that if you are on Medicare with a pump that all of your Insulin should be at 0 dollars. Find a pharmacy that will bill it under part B for a supply to your Durable medical equipment (pump). Medicare then pays for all of it and no co insurance or deductible involved.
Medicare covers it at 80 percent. If you have a supplement, that pays the other 20 percent.
In some ways, the question is misleading. For those of us with T1D and High Deductible plans, we hit our deductible amounts quickly. After that, except for prescription co-pays (for me $50 co-pay for insulin AFTER I hit my deductible), diabetes supplies should be covered at 100% (not all are covered such as skin preps).
Probably not more then 10 dollars.
$0. I live in the UK (United Kingdom of Great Britain and Northern Ireland), where ALL of my diabetes medications and supplies are paid for through our NHS (National Health Service), which is paid for via direct taxation of all working people.
All Inhad to paynfor was $135 copay for my 3 month supply of insulin and I purchased IV Prep for $25. Infusion sets, cartriges (resivors), and Dex 6 sensors are all covered 100%.
$70 office visit. $125 bloodwork.
Let’s just say too much and medical insurance is not what it used to be. 😠
Oops supplies-my supplies are covered but medication copays are about $75 with insulin.