God fucking dammit, second call of the night, and its a guy whose prescription benefits ran out...

[Humanist_Activist]

for the year, he exceeded the maximum, so now he has to pay full price for prescriptions(and probably medical) for the next 3 months for himself and the rest of his family. At least he didn't yell or scream, or cry or something, he just seemed, resigned I guess. I would be too, but I feel bad for him.

[hrmjustin]

1. I am very sorry to hear this.

[Humanist_Activist]

2. On balance it wasn't so bad, I've had mothers crying on the phone asking how to pay for their...

kid's medication because the insurance company is run by assholes.

I've had people become very angry because again, the insurance company is run by assholes.

I occasionally, its actually quite rare, try to get Xanax or narcotic addicts to try to get their medications billed through the insurance at several different pharmacies, those are the only ones I don't have sympathy for. Hell, I'm sympathetic of the guys who can only get 4-6 pills of Viagra/Cialis a month, feel sorry for their SOs to.

[Indykatie]

3. Under Obamacare These Types of Annual and Lifetime Maximums are Eliminated on Employer Based Plans

Ir's rare to even see an annual maximum on Rx benefits anymore.

[Humanist_Activist]

5. Its not that rare, the company I work for contracts with hundreds of plans...

most of them employers or unions, and I would estimate that about 1 in 5 have some type of annual and/or lifetime limit for prescription coverage. That's why I'm so glad for that provision of the ACA, its awesome, and I won't have to take calls from people in February explaining why Jimmy's childhood diabetes will have to be treated at free clinics and/or hospitals because 2 months supply of his medications was enough to max out the benefits. Yes, some plans are that sucky.

[kestrel91316]

4. Can he maybe get a deal from Target or Costo pharmacy? They have some sort of

price cap on a lot of prescriptions.

[Humanist_Activist]

6. Generally such deals only exist for certain medications, like antibiotics...

that are used short term to treat and outright cure certain ailments, maintenance medications are different.

Not that I actually know a whole lot about that, I don't know their specific policies.

[kestrel91316]

7. It's worth him calling around about. I thought it was mostly for the long-term meds that people

really need to save money on over time........