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    • 14 hours, 53 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 14 hours, 54 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I am my own advocate. I read about new devices and always investigate side effects of any new medication before starting. I usually bring up but then have good discussion with Endo before making decisions.
    • 14 hours, 55 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      With my endo, I usually have to ask. With the Diabetes Educator, she'll make the suggestion first. They're both very aware that I'm dependent on insurance covering the majority of the cost.
    • 16 hours, 9 minutes ago
      Trina Blake likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 16 hours, 14 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      No, I was the one who had diabetes
    • 16 hours, 15 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 16 hours, 15 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      Already married over forty years when I was diagnosed.
    • 16 hours, 15 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I never knew of anyone who had diabetes, type 1 or 2 before I was married. I became a T1D after I was married.
    • 16 hours, 19 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I answered “no.” I don’t think my girlfriend at diabetes children’s camp when I was 13 counts. While I think there would be a lot I would have in common with a partner with T1D, I wouldn’t want that to be what brought us together, and I don’t think it would keep us together.
    • 16 hours, 19 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      went on one date with a T1D. she had been dx'd as a child (I was dx'd at 43) so she was very old school. she ragged on me during the entire date about my menu choices, my carbs estimation for my shot and she lost her mind when I ordered a Corona! punchline is that my sugar was less than 150 when I went to sleep.
    • 16 hours, 20 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      When I was married, diabetes was not in the picture at all. All I knew was an uncle who died in 1929 because he refused injections. I developed LADA in my 40's, followed by my husband with Type 2, then my two daughters who had PCOS and Type 2, then my son with Type 2. Enough.
    • 16 hours, 20 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I am married to someone with Type 2.
    • 16 hours, 20 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 16 hours, 20 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I dated someone, but I was/am not out of the closet about having T1 so he didn’t know that I have T1
    • 16 hours, 20 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      My husband was diagnosis at age 3 and I was diagnosed at age 4.
    • 16 hours, 41 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 16 hours, 42 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 17 hours, 1 minute ago
      Bonnie Lundblom likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 17 hours, 10 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I may already be on the best medications and devices available to me.
    • 17 hours, 10 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 17 hours, 11 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 17 hours, 11 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I had to answer “other” because I just got a new endo after my other one retired so I’ve only met with him once. Too early to discuss new technology or medications.
    • 17 hours, 11 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Generally, no, my healthcare provider does not suggest new medications or devices. However, it is not often that new meds/devices become available. Most things are dependent upon my quarterly blood tests. Recently, my Endo put me on statin drugs when my bloodwork showed high cholesterol over a six month period. Otherwise, I am usually the one who asks about new devices about which I have heard or read.
    • 17 hours, 11 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 17 hours, 12 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I am on the Dexcom, I’m not on a pump though. I am LADA so I have very high insulin resistance, so I use a lot of insulin & there’s just not a pump that would be efficient for my amount of insulin. I’ve tried to get Afrezza, but every Endoc I bring it up to won’t prescribe it. Even though I bring them evidence that it doesn’t cause lung cancer when you’re not a smoker. So frustrating that we can’t agree on that course of treatment.
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    If you have met your health insurance prescription deductible for the year, how much is your co-pay for one month’s supply of insulin?

    Home > LC Polls > If you have met your health insurance prescription deductible for the year, how much is your co-pay for one month’s supply of insulin?
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    How many times in 2021 did you have an appointment with your main T1D health care provider?

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    Does your health insurance deductible reset on January 1st?

    Sarah Howard

    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 Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    41 Comments

    1. Donna Condi

      I am on Medicare so Walgreens sends my insulin through as durable medical equipment so I pay nothing for it.

      1
      1 year ago Log in to Reply
      1. Wanacure

        Donna, congratulation!

        1 year ago Log in to Reply
    2. Ahh Life

      I am on medicare. My CVS out of pocket expense is $108.33 monthly for DME insulin. I have seen the cost vary by state, by county, by month, by day, and yes, by the hour while the pharmacist stayed on the phone. It’s like being in front of a fun-house mirror. Only it isn’t funny.

      5
      1 year ago Log in to Reply
      1. Wanacure

        Wow! Congratulations.

        1 year ago Log in to Reply
      2. Wanacure

        Ahh Life, thanks for explaining our chaotic American health care situation. 🙂

        1 year ago Log in to Reply
    3. Kathleen Juzenas

      I have met my deductible but insulin is fully covered by Medicare Part B since I use an insulin pump.

      1
      1 year ago Log in to Reply
    4. Joan McGinnis

      I do not have a prescription deductible but on Medicare advantage plan. I am now in catastrophic coverage after being in and out of donut hole so for the last 3 mo prescription I paid $27 ? A tiny fraction of what I pay normally I have never been in catastrophic before but in sulking always gets me in the donut hole. So I switched this yr to a plan that will offer $30 per month max for insulin

      1 year ago Log in to Reply
    5. Larry Martin

      Insulin it Tier 2 for me so I have no deductible but I do have to pay $15 for a 3 month supply.

      1 year ago Log in to Reply
    6. Jim Cobbe

      $200, because i use Fiasp and Tresiba both of which are not my Medicare Advantage’s preferred insulins, but which are definitely better for my control.

      1
      1 year ago Log in to Reply
      1. TEH

        There was only one advantage plan that covered my insulin. For that reason I went with a gap plan. With that I pay $28/vial. I hope you looked for other plans.

        1
        1 year ago Log in to Reply
    7. Dave Barden

      I thought Medicare part B was covered 80%. And we pay 20% unless we have a medigap policy as well

      I pay $0 for insulin because it’s tier6 in my $600/yr part D policy

      1 year ago Log in to Reply
    8. Kristine Warmecke

      I have no deductible on my Medicare Advantage plan, so until I meet my out of pocket maximum my Novolog is $800+ for a 3 month supply. Once that is met it cost me nothing. The plan pays 20% only because I’m allergic to the preferred brand.
      Since I can’t afford that on my fixed income, I ration my insulin.

      1 year ago Log in to Reply
      1. AnitaS

        So sorry you have to ration. Nobody should have to do that.

        1 year ago Log in to Reply
      2. Wanacure

        Larry, what state do you live in? I’m envious.

        1 year ago Log in to Reply
      3. Wanacure

        Kristine, being forced into rationing is outrageous.

        1 year ago Log in to Reply
    9. Lawrence S.

      I get my Novolog insulin with 90 day prescriptions. I pay $55 each 90 days. This site says my answer was $20-$30 per month, but I clicked on $10-$20 per month. Something must have changed when I clicked “submit.”

      1 year ago Log in to Reply
    10. Mark Schweim

      My annual deductible only applies towards DME prescription items and Doctor visits, but it’s only a $750 annual deductible. I think pharmacy coverage is changing next year so no idea if prices will be the same as this year or not. In 2021, ALL my pharmacy Benefits covered prescriptions came at $0 co-pay except for two non-Diabetes related medications that carried a co-pay of $2 – $6. But the only Pharmacy Benefits covered Diabetes related item that has had a co-pay was my infusion sets that CVS Caremark mail-order pharmacy insisted they didn’t have and couldn’t get until I had them do a search on their computer for them and they said they thought the computer was wrong since they couldn’t get any Insulin Pump supplies, but they’ve been able to send my infusion sets as a pharmacy benefit with a $70 co-pay first shipment and only a $20 co-pay on the second shipment.

      Currently, the ONLY pump supply I need to get under my DME coverage is my Insulin Pump cartridges.

      1 year ago Log in to Reply
    11. Kathy Morison

      The only year I actually met my deductible was when I had my heart attack. I took full advantage and got procedures done and stocked up on the 2 insulins Im on

      1 year ago Log in to Reply
    12. AnitaS

      Even though my co-pay is $35 for one month’s supply, I actually don’t use all of the insulin that is supplied by the insurance so I just order when I actually need insulin which is about every six weeks. My insurance pays 100% of my pump and CGM supplies so I feel I get a good bargain.

      1 year ago Log in to Reply
    13. Derek West

      My Medicare Advantage Plan has no deductible so I pay $47 for 2 vials, a 6 to 7 week supply, but once in the doughnut hole I pay $134 for 2 vials.

      1 year ago Log in to Reply
    14. Gary Taylor

      I get 7 bottles for a 3 month supply (which actually lasts for 4 months or more.) My insurance has a maximum out-or-pocket of $175 for any one order. So that works out to be about $60 per month.

      1 year ago Log in to Reply
    15. Marty

      I’m lucky to have standard Medicare (80% coverage for pump insulin) with a supplement that covers the 20% deductible.

      1 year ago Log in to Reply
    16. Bonatay

      My co-pay for insulin has been $40 for a three-month supply. So 13.33 per month would be my out-of-pocket cost.

      1 year ago Log in to Reply
    17. Janis Senungetuk

      I don’t have a deductible on prescriptions. My primary coverage is thru my spouse’s employer. My secondary insurance is Medicare. All but $10 of my 2 vial a month Novolog prescription is picked up by the primary insurance and Medicare pays a small portion under Part B because I use a pump that covers the remaining balance. I pay plenty for all other DME (pump insulin cartridges, infusion sets, Dexcom CGM sensors and transmitters) because of primary insurance co-insurance 20% + 20% co-pay on pump and CGM supplies. Medicare as a secondary does not cover any co-insurance charges.

      1 year ago Log in to Reply
    18. Annie Maley

      It just seems so wrong, but after insurance I still pay $202 for 90 day supply. I tried to bill through Medicare Part B (with my insulin pump), but they will now only pay for the generic form of Novolog or Humalog. I can’t win.

      1 year ago Log in to Reply
      1. Bonnie Lundblom

        Medicare Part B and my Medicare Supplement plan pay 100% for my Novolog, not the generic. Does this vary from state to state?

        1 year ago Log in to Reply
    19. Janice B

      I am very fortunate that I am now on My husbands carpenters insurance. They have a Wellness facility and if you use their pharmacy prescriptions, with a few exceptions, are free

      1 year ago Log in to Reply
    20. Sherrie Johnson

      My insulin is covered under part B of Medicare because I wear a pump DME durable medical equipment. The plan I have chosen a pay high premium and have no deductibles and no co-pays

      1 year ago Log in to Reply
    21. Donna Clemons

      I go by a 6 month supply. 150.00 Last me about 10 months.

      1 year ago Log in to Reply
    22. connie ker

      I am a senior on Medicare and have a seperate part D insurance plan which covers insulin at no deductible. However, I pay a premium of $58 monthly to carry this Cigna coverage.

      1 year ago Log in to Reply
    23. Vivian Moon

      I am on Medicare and on an insulin pump.
      Because of that, insulin is covered under Medicare Part B.
      Between Medicare and my supplemental health insurance I pay nothing throughout the entire year.
      Not all pharmacies participate though.
      I use Walgreens but there are others.

      1
      1 year ago Log in to Reply
    24. Jneticdiabetic

      I have an employer provided HMO plan. I pay $15 per Rx and 50% if my pump/ CGM supplies until I spend $1500 out of pocket. After that they’re free. I usually just get my Dec refills free.

      1 year ago Log in to Reply
    25. Patricia Dalrymple

      Even with a deductible I pay nothing for test strips or insulin through Cigna with my university employer (other than what they deduct from my pat of course).

      1 year ago Log in to Reply
      1. Patricia Dalrymple

        My pay

        1 year ago Log in to Reply
    26. Bonnie Lundblom

      Medicare Part B and my Medicare Supplement plan pay 100% of the cost of my Novolog for my DME insulin pump.

      1 year ago Log in to Reply
    27. Wanacure

      Please read Ahh Life’s comment. I live in Washington State. The legislature recently passed a law regulating insulin costs. Even my cheapest Kaiser Permanente Medicare plan cannot charge more than $35 per vial of insulin. This applies to brand name glargine (Lantus) and brand name lispro (Novolog); no other types or brands are available as far as I know from KP. Each vial is GMO engineered to effectively last 28 days; but I’ve used them longer than that at my own risk. I can order a 90 day supply of each. Infusion sets for insulin pumps are unregulated as far as I know.

      1 year ago Log in to Reply
    28. kristenthomas

      we don’t have a deductible for prescriptions, you pay the same all year. $30 month

      1 year ago Log in to Reply
    29. Lynn Smith

      I do not have a deductible on my prescriptions. I pay $80 for 3 months of insulin.

      1 year ago Log in to Reply
    30. Lyndsey Escobar

      We get all of our supplies through mail, 90 day supply. It costs $10 for 3 months, regardless of how many vials (his insulin needs have changed since he honeymooned for so long).

      1 year ago Log in to Reply
    31. LizB

      I don’t think I have a prescription deductible. I pay $35/90 days for Humalog through Walgreens. I only found out I could get 90 days in a retail store this summer. Prior to that I was going monthly and paying $30 each month!

      1 year ago Log in to Reply
    32. ConnieT1D62

      I don’t have a deductible with the Medicare advantage plan I am on. Insulin RX is $35.00 per monthly Novolog refill. My endocrine provider gives me sample pens of long & short acting insulin to use in the rare instances when I am off the pump.

      1 year ago Log in to Reply

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