I have been insured through Medicaid for approximately three years. I am a diabetic and have had serious issues with finding a medication plan to control my AIC. In January of this year my AIC was 12, a prime candidate for a diabetic coma. the doctor could not understand why the pills were not working. On the advice of a co-worker, we decided to try a weekly injection. The only problem was that it was a level 3 three drug and Medicaid would only pay a small portion of the cost. Because I was working, I bit the bullet and paid the $250+ per month that Medicaid would not pay. Now, I have retired because I could no longer perform at the level of focus required to be successful.
Medicine costs $734/3 month co-pay which will not be paid for by Medicare this month. I will need to pay $1080.00 in prescription fees before Medicaid will change my co-pay to $10.00. I retired last month, July, and was told by Medicaid I would be in the disaster level this month when the refill is due and it would cost $10.00 co-pay. Was told today that I must pay an additional $1080.00 before I am out of the gap payment level, I do not have it. I need the prescription ASAP. This medicine has saved my life literally. I need this one time assistance which will get me through the year. At that point I will change insurance so I can get help from the manufacturing company. Unfortunately, they do not help people on Medicaid.
Thank you for any assistance provided.