Paxlovid is going to cost me $1400?!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

For people on medicare, medicaid, and tricare, you cannot use those discounts. Either insurance covers, you private pay (we do with several medications) or you go without.

This article explains it https://www.healthcarenavigation.com/does-my-plan-cover-paxlovid/

But most insurance covers it.

My insurance will not give it to me and we have tricare. I’ve always been refused.

Your insurance covers it if a provider orders it. You might have a deductible you need to meet, but they'll cover it after that. Prior authorization is not required, either.

No, that's not how it works. Your provider can order it and tricare can deny it. There is No deductible on base. Stop giving wrong advice.

I don't know where you got that idea. Paxlovid is on the formulary and does not require prior authorization.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

NP. it was a CVS pharmacist who told me about Paxcess, so maybe they aren’t all bad. But, our healthcare system is a nightmare and I now support universal healthcare. Hope you do too.

I most certainly do support universal healthcare because what we have now is criminal. The wealthy get the best treatment without having to make life or death choices based on cost while even the UMC are getting wiped out from the expense.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

NP. it was a CVS pharmacist who told me about Paxcess, so maybe they aren’t all bad. But, our healthcare system is a nightmare and I now support universal healthcare. Hope you do too.

I most certainly do support universal healthcare because what we have now is criminal. The wealthy get the best treatment without having to make life or death choices based on cost while even the UMC are getting wiped out from the expense.

Universal health care sucks. We have tricare and its 3-9 months for specialists, 6 months for mamograms, 3-4 months for MRI's, CT's and ultrasounds (and that's when you are lucky and they accept you on base)... and the specialists are often residents or fellows who don't have a clue and blow you off. Its taken me years to get a diagnosis (as in about 10 years and now they will not give me my health records I need (what I need isn't in the regular ones) to get to an outside specialist..

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

NP. it was a CVS pharmacist who told me about Paxcess, so maybe they aren’t all bad. But, our healthcare system is a nightmare and I now support universal healthcare. Hope you do too.

I most certainly do support universal healthcare because what we have now is criminal. The wealthy get the best treatment without having to make life or death choices based on cost while even the UMC are getting wiped out from the expense.

Universal health care sucks. We have tricare and its 3-9 months for specialists, 6 months for mamograms, 3-4 months for MRI's, CT's and ultrasounds (and that's when you are lucky and they accept you on base)... and the specialists are often residents or fellows who don't have a clue and blow you off. Its taken me years to get a diagnosis (as in about 10 years and now they will not give me my health records I need (what I need isn't in the regular ones) to get to an outside specialist..

what diagnosis did you get?

[Anonymous]

Don’t you have insurance?

[Anonymous]

I support universal health care but my understanding is that Paxlovid is not very available in Canada and Europe.

As someone who experienced the NHS, it's frustrating when people day "we need universal health care!" regarding health care options that would not be available in countries like the UK.

Like I had a friend post "we need universal healthcare"! because her insurer would not pay for her to get a screening mammogram at 35. Um, you can't get those till FIFTY in the UK.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

NP. it was a CVS pharmacist who told me about Paxcess, so maybe they aren’t all bad. But, our healthcare system is a nightmare and I now support universal healthcare. Hope you do too.

I most certainly do support universal healthcare because what we have now is criminal. The wealthy get the best treatment without having to make life or death choices based on cost while even the UMC are getting wiped out from the expense.

Universal health care sucks. We have tricare and its 3-9 months for specialists, 6 months for mamograms, 3-4 months for MRI's, CT's and ultrasounds (and that's when you are lucky and they accept you on base)... and the specialists are often residents or fellows who don't have a clue and blow you off. Its taken me years to get a diagnosis (as in about 10 years and now they will not give me my health records I need (what I need isn't in the regular ones) to get to an outside specialist..

what diagnosis did you get?

not a good one...

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

NP. it was a CVS pharmacist who told me about Paxcess, so maybe they aren’t all bad. But, our healthcare system is a nightmare and I now support universal healthcare. Hope you do too.

I most certainly do support universal healthcare because what we have now is criminal. The wealthy get the best treatment without having to make life or death choices based on cost while even the UMC are getting wiped out from the expense.

Universal health care sucks. We have tricare and its 3-9 months for specialists, 6 months for mamograms, 3-4 months for MRI's, CT's and ultrasounds (and that's when you are lucky and they accept you on base)... and the specialists are often residents or fellows who don't have a clue and blow you off. Its taken me years to get a diagnosis (as in about 10 years and now they will not give me my health records I need (what I need isn't in the regular ones) to get to an outside specialist..

what diagnosis did you get?

not a good one...

and its useless when my current doctors have no idea how to treat it or access to the meds i need

[Anonymous]

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

Were you able to use the discount at CVS?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

NP. it was a CVS pharmacist who told me about Paxcess, so maybe they aren’t all bad. But, our healthcare system is a nightmare and I now support universal healthcare. Hope you do too.

I most certainly do support universal healthcare because what we have now is criminal. The wealthy get the best treatment without having to make life or death choices based on cost while even the UMC are getting wiped out from the expense.

Universal health care sucks. We have tricare and its 3-9 months for specialists, 6 months for mamograms, 3-4 months for MRI's, CT's and ultrasounds (and that's when you are lucky and they accept you on base)... and the specialists are often residents or fellows who don't have a clue and blow you off. Its taken me years to get a diagnosis (as in about 10 years and now they will not give me my health records I need (what I need isn't in the regular ones) to get to an outside specialist..

what diagnosis did you get?

not a good one...

and its useless when my current doctors have no idea how to treat it or access to the meds i need

What kind of doctor do you need?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Our health system is completely broken. I tested positive for covid this morning and my Dr. called in an Rx for Paxlovid since I have asthma. Imagine my shock and surprise at the local CVS price of $1400!!

The medical industry is evil.

Its not broken. They are only paying if its necessary and asthma alone doesn't make it necessary.

Are you OP’s doctor?

If not, why are you contradicting her doctor’s medical advice? It’s not a fringe position.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look at paxlovid.com. Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare. Two weeks ago I got the same price at CVS, and told them I wanted to think about it. Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0. Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.

Thank you, thank you, thank you!

You have helped me so much with this advice! I was able to get the discount.

For anyone saying that our system isn’t broken just tell me why it took a random internet stranger to navigate this situation while my doctor, pharmacist and insurance company never told me about this program? All of the medical “professionals” that I spoke with today just shrugged their shoulders and told me tough luck too bad so sad.

Thank you whoever you are. I am very grateful.

NP. it was a CVS pharmacist who told me about Paxcess, so maybe they aren’t all bad. But, our healthcare system is a nightmare and I now support universal healthcare. Hope you do too.

I most certainly do support universal healthcare because what we have now is criminal. The wealthy get the best treatment without having to make life or death choices based on cost while even the UMC are getting wiped out from the expense.

Universal health care sucks. We have tricare and its 3-9 months for specialists, 6 months for mamograms, 3-4 months for MRI's, CT's and ultrasounds (and that's when you are lucky and they accept you on base)... and the specialists are often residents or fellows who don't have a clue and blow you off. Its taken me years to get a diagnosis (as in about 10 years and now they will not give me my health records I need (what I need isn't in the regular ones) to get to an outside specialist..

It's 3-4 months for MRIs in the DC area without Tricare and for non military pp. Took me ten years to get a Hashimotos diagnosis as a civilian. It's taken me two years to get an appointment with an endocrinologist.
This is not just a Tricare problem.

[Anonymous]

Try Costco