I have a prospect who is new to Medicare. She is taking Vemlidy which is a tier 5 and the full cost is about $1000/month, with an MAPD plan her copay will be around $300/month before the gap.
She says her copay for this drug is only $40/month when she uses the group coverage offered by her current employer. After a little digging I found out she is actually getting some kind of subsidy from the pharmaceutical, she recognizes this card:
VEMLIDY® (tenofovir alafenamide) | Savings and Support
the problem is:
"If you are enrolled in a government healthcare program, such as Medicare Part D or Medicaid, you are not eligible. This includes when you are in the Medicare Part D coverage gap known as “the donut hole.” "
I told her go back to her specialist and check if there are other ways of saving, but what can you do to help a prospect in a similar situation?
TIA.
She says her copay for this drug is only $40/month when she uses the group coverage offered by her current employer. After a little digging I found out she is actually getting some kind of subsidy from the pharmaceutical, she recognizes this card:
VEMLIDY® (tenofovir alafenamide) | Savings and Support
the problem is:
"If you are enrolled in a government healthcare program, such as Medicare Part D or Medicaid, you are not eligible. This includes when you are in the Medicare Part D coverage gap known as “the donut hole.” "
I told her go back to her specialist and check if there are other ways of saving, but what can you do to help a prospect in a similar situation?
TIA.