- Thread starter
- #11
AgentGeneral
Guru
- 375
Thought I'd just come back here for an update bc this was confusing to me maybe it would help someone else newer in this biz.
Talked to 6 people on expensive part B drugs, all in the $3000 range, all on MAPDs since this OP. No one paid more than $240.
The lady who paid $240 was on HAP MAPD and that was the total for two injections per year. Her injections were for a post cancer drug, the rest were MD. The rest were around $100 plus co-pay (Aetna, Humana, BCBC clients). Not bad.
Still not a real solid answer. Still wonder how the negotiation part works. I didn't see the EOBs or bills. No one really complained. Took their word for it.
So my fear of using MAPD for people with MD was mostly unwarranted. Roll with it, learning more every week still.
Talked to 6 people on expensive part B drugs, all in the $3000 range, all on MAPDs since this OP. No one paid more than $240.
The lady who paid $240 was on HAP MAPD and that was the total for two injections per year. Her injections were for a post cancer drug, the rest were MD. The rest were around $100 plus co-pay (Aetna, Humana, BCBC clients). Not bad.
Still not a real solid answer. Still wonder how the negotiation part works. I didn't see the EOBs or bills. No one really complained. Took their word for it.
So my fear of using MAPD for people with MD was mostly unwarranted. Roll with it, learning more every week still.