KG Health Insurance

No, I am not looking forward to October. Centene eliminates brokers’ commissions for Medicare drug plans statnews.com/2024/08/27/cent… via @statnews

The reveal won’t happen until I’m running drug lists for 2026. And with these 5 on the list (Eliquis, Xarelto,Januvia, Entresto and Jardiance) it will be a game changer. They aren’t hitting the $2K but are spending around $1800 annually at the pharmacy.

80% of Medicare Recipients don’t review their Annual Notice of Change. Don’t follow the crowd this year. Be part of the 20% and check your Part D or Medicare Advantage benefits starting October 1 with your agent or at Medicare.gov. And if your agent isn’t reaching out to you every year, find a new one. wsj.com/articles/medicare-pa…

This is why seniors need agents who understand the drug pricing game. The first drug he mentions is Teriflunomide, $25-ish on GoodRX. But it applies to the deductible on Part D, so $100 a month until the deductible is reached. Except at one pharmacy, where its $150 a month.

Buckle up, folks. The Medicare Advantage Plans will most likely have higher drug costs and in many cases, a drug deductible for the first time in 2025. Don't be part of the 80% of Medicare Recipients that don't review their plan each year. Review your plans for 2025.

Today is a great day for some and a super hard day for others. If you are hurting today, for whatever reason, we see you and we love you ❤️

3 calls today on Vyvanse. Theres is no generic available. Nationwide shortage. And @bcbstx is no longer covering the brand on closed formulary (so almost all of them) plans. Docs and pharmacists are frustrated and overwhelmed. With patients caught in the middle. – at Garland, TX