I have suffered for more than 10 yrs from chronic pain due to occipital neuralgia, severe muscle pain, migraines, trigeminal neuralgia, I have osteopenia in lower back, also have herniated and bulging disks in lower back and upper cervical spine. Have degenerative disk disease for more than 30 yrs. I use oxycodone for pain, Neurontin (Gabapentin) for nerve pain, Ambien for sleep, Aciphex for acid reflux, Pristiq for depression, and Imitrex for migraines. I'm switching over to Medicare advantage and am having problems with medication coverage. Anyone have suggestions as to alternate medications I could take? Does anyone have issues with medication coverage?
You may have trouble with Imitrex. I've got a good private policy and they only pay for 9 tabs a month.
Many times the private sector follows Medicare guidelines.
Supposedly, daily chronic use is not good and this is there way to prevent daily use.
I've found that I was able to curtail it and it keeps from building up tolerance.
Hi BooBoo: Unfortunately, there are many medications not covered by Medicare, such as cough syrup with codeine . It doesn't cover any controlled substances. I even have to pay cash price for my thyroid medicine. I have great supplemental insurance to go with my Original Medicare, but unfortunately, they will not cover anything like that which isn't covered by Medicare. You can call your pharmacy about your medications and ask them if they are covered by your Medicare Advantage insurance. You also need to find out if you have a deductible that you will have to meet before they start to cover your prescriptions. As far as antidepressants are concerned, they only cover generic ones, not name brand. So your Pristiq will more than likely not be covered, depending on your current plan. You should receive a Formulary with your plan which shows which medications are covered with your policy.
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