Democratic Underground Latest Greatest Lobby Journals Search Options Help Login
Google

"Survey: Medicare Part D Failing People with AIDS"

Printer-friendly format Printer-friendly format
Printer-friendly format Email this thread to a friend
Printer-friendly format Bookmark this thread
Home » Discuss » DU Groups » Health & Disability » HIV/AIDS Support Group Donate to DU
 
rusty charly Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-30-07 10:51 PM
Original message
"Survey: Medicare Part D Failing People with AIDS"
People with HIV/AIDS are faring poorly under the Medicare Part D plan, according to a survey of members of the American Academy of HIV Medicine (AAHIVM) and the HIV Medicine Association (HIVMA).

Medicare is regulated by the Centers for Medicare and Medicaid Services, which designated antiretrovirals as one of the six drug classes in which insurers must cover "all or substantially all" available drugs. Insurers are allowed to require prior authorization only for Fuzeon, the most expensive therapy.

Even so, four out of five doctors said prior authorization is a barrier to getting prescriptions filled. Eighty-three percent of physicians surveyed said their patients were having trouble getting prescriptions filled under Part D, and 75 percent of those with a problem had gone without medications. "We're currently processing at least 25 prior authorizations per week," said Dr. Michael Saag, director of the HIV clinic at the University of Alabama-Birmingham. "The only ones who benefit are the insurance companies."

Some patients are "dual eligible," qualifying for Medicare and Medicaid, and are served by a variety of programs, including the AIDS Drug Assistance Program. All eligible ADAP patients were required to be enrolled in Part D as of January 2006.

The providers surveyed said 48 percent of dual eligible patients were worse off under Part D in terms of the drugs covered, while 9 percent were better off. Out-of-pocket expenses for co-pays were higher for 58 percent and lower for 5 percent.

In their recommendations, AAHIVM and HIVMA ask Congress to act to deal with prohibitive co-pays and to ensure that Part D covers all drugs. They also want regulators to enforce existing rules on prior authorization.

To access the full report, "HIV Medical Provider Medicare Part D Survey," visit

www.aahivm.org.
Refresh | 0 Recommendations Printer Friendly | Permalink | Reply | Top
Roon Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-02-07 09:03 PM
Response to Original message
1. Medicare part D has been nothing but a pain in my ass.
First, I went from having no copay to having a 25.00 copay. Then I went back to having no copay again. At the first of the year, my part D provider, without warning, started charging a copay again. So now I had to pay 25.00 a month again. Then adapt stepped in and now they cover my copay for all my physce and viral meds except one. I have to pay a 2.00 copayment for that. It's been a roller coaster with these people.
Printer Friendly | Permalink | Reply | Top
 
DU AdBot (1000+ posts) Click to send private message to this author Click to view 
this author's profile Click to add 
this author to your buddy list Click to add 
this author to your Ignore list Mon Dec 29th 2014, 11:23 AM
Response to Original message
Advertisements [?]
 Top

Home » Discuss » DU Groups » Health & Disability » HIV/AIDS Support Group Donate to DU

Powered by DCForum+ Version 1.1 Copyright 1997-2002 DCScripts.com
Software has been extensively modified by the DU administrators


Important Notices: By participating on this discussion board, visitors agree to abide by the rules outlined on our Rules page. Messages posted on the Democratic Underground Discussion Forums are the opinions of the individuals who post them, and do not necessarily represent the opinions of Democratic Underground, LLC.

Home  |  Discussion Forums  |  Journals |  Store  |  Donate

About DU  |  Contact Us  |  Privacy Policy

Got a message for Democratic Underground? Click here to send us a message.

© 2001 - 2011 Democratic Underground, LLC