Medical Update

Please pray for Chuck tomorrow as he tries to untangle the mess of changing medications through Medicare.  His doctor changed him from Advair to a nebulizer with medication in May.  His Advair prescription as been cancelled, the nebulizer is here, but no medication.

First they said they didn't receive the prescription, so Chuck's doctor sent it again.  Friday, Chuck was told we needed to send $1100.00 to get the medication which shouldn't be true.

There are many categories of medical coverage.  One that became familiar to us is durable medical.  Chuck's CPAP machine and oxygen fall under durable medical as does the nebulizer and medication. 

Medicare has a stopping point in prescription coverage called "The Gap" or "The Donut Hole" after a certain amount of money has been paid for prescriptions.  Chuck is now in the gap now and probably won't have enough "out of pocket" expenses for Medicare to pay for any prescriptions for the rest of the year.  His doctor knew this, and that's one of the reasons he's been changed to the nebulizer.

Chuck has had very few dealings with insurance companies and claims, so he gets very frustrated when he is told something he doesn't understand or doesn't like.  I'm gone from 6:30 am to 6:30 pm, so he has to do all the investigation by himself.

As I asked, please pray.  He needs his medication, and we don't want to pay if it is covered under durable medical coverage.