OT: oh oh oh Ozempic !
- Thread starter Plum Street
- Start date
This. That was my initial experience with just looking into it with my doctor and insurance . Of all these drugs only one (ozem) was possibly covered and I say possibly because you actually had to have an A1C high enough to be diabetic to get it covered (at crazy high price because it was Medicare and not private).
That was a shake my head moment when I thought..so wait. The preventative to keep you from becoming one is there but in this case you need to get the disease before you can get the preventative?
The Biden administration, in its last full weekday in office, announced the next 15 drugs up for Medicare price negotiation. Blockbuster diabetes drug Ozempic is on the list.
That means the federal government and the pharmaceuticals industry are about to go head-to-head once again. The Centers for Medicare and Medicaid Services negotiated prices for a first batch of drugs last year — something it could only do because of the Inflation Reduction Act, which passed in 2022. Those new prices go into effect in January 2026.
yes, I was going to mention that too. Unfortunately those prices for the new 15 wouldn't go into effect until 2027. But here's yet another thing. Starting a few weeks ago the Cap on Medicare Part D (including Advantage plans) drug expenses for covered drug is now $2,000!
- Your yearly Part D
Out-of-pocket costs
Health or prescription drug costs that you must pay on your own because they aren’t covered by Medicare or other insurance.
will be capped at $2,000 in 2025. You’ll also have the option to pay out-of-pocket costs in monthly amounts over the plan year, instead of when they happen.
Saving money with the prescription drug law
A new prescription drug law that went into effect January 1, 2023, will help save money for people with Medicare.
www.medicare.gov
I need to hear this from my Insurance prover first but if true than that takes the annual cost of something like Ozempic down from $7,872 to $2,000. (and the few other items I get would be free then). Game changer.
I fell asleep listening to one youtube vid and woke-up listening to a podcast (Diary of a CEO) about Insulin. Researcher Dr Benjamin Bikman had a lot to say about Ozempic, People lose a lot (20-40%) of lean mass that can be hard to get back (a woman over 60 will be stuck because fat can come back but not bone). Young people already lean but using Ozempic to polish some lines can get hit hard. Some girls in 20s getting diagnosed with osteoporosis.
2:26:00 in
2:26:00 in
The Insulin & Glucose Doctor: This Will Strip Your Fat Faster Than Anything!
Ozempic et al are truly amazing medications. It will turn a fat/lazy person into a thin/lazy person. The lazy part is all on them. You build lean muscle by not being lazy. Pretty simple.
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In vid there is a 30 yr old singer (active) crying because she just got diagnosed with osteoporosis and osteopenia/osteopenia. I see she also had the popular "blister lip" injection that will move around in tissue as time goes on. If people do keto for a few weeks the hunger pangs get so low you can end-up having to remind yourself to eat
One commenter said something under video that I think is true said:
"I studied nutrition in college 25 years ago. Nobody, and I mean NOBODY, was talking about this information back then. It was all about using food to manage disease, not using food to reverse disease. We are living in amazing times."
Ozempic left me with deadly bone-thinning disease, says singer Avery
In a tearful video posted to Instagram, the 30-year-old from Pheonix, Arizona admitted she took the drug after struggling with a binge eating disorder.
www.dailymail.co.uk
Her osteo is likely due to her long-time eating disorder. This happens quite often.In vid there is a 30 yr old singer (active) crying because she just got diagnosed with osteoporosis and osteopenia/osteopenia. I see she also had the popular "blister lip" injection that will move around in tissue as time goes on. If people do keto for a few weeks the hunger pangs get so low you can end-up having to remind yourself to eat
One commenter said something under video that I think is true said:
"I studied nutrition in college 25 years ago. Nobody, and I mean NOBODY, was talking about this information back then. It was all about using food to manage disease, not using food to reverse disease. We are living in amazing times."
Ozempic left me with deadly bone-thinning disease, says singer Avery
In a tearful video posted to Instagram, the 30-year-old from Pheonix, Arizona admitted she took the drug after struggling with a binge eating disorder.www.dailymail.co.uk
Btw..my provider confirmed the above. . And it doesn't matter how many scripts your doctor writes if you're on Medicare. They won't t cover it UNLESS you are an actual diabetic. Not even for pre diabetic to keep you from becoming one.. SMH.yes, I was going to mention that too. Unfortunately those prices for the new 15 wouldn't go into effect until 2027. But here's yet another thing. Starting a few weeks ago the Cap on Medicare Part D (including Advantage plans) drug expenses for covered drug is now $2,000!
- Your yearly Part D
Out-of-pocket costs
Health or prescription drug costs that you must pay on your own because they aren’t covered by Medicare or other insurance.
will be capped at $2,000 in 2025. You’ll also have the option to pay out-of-pocket costs in monthly amounts over the plan year, instead of when they happen.Saving money with the prescription drug law
A new prescription drug law that went into effect January 1, 2023, will help save money for people with Medicare.www.medicare.gov
I need to hear this from my Insurance prover first but if true than that takes the annual cost of something like Ozempic down from $7,872 to $2,000. (and the few other items I get would be free then). Game changer.
Private insurance is completely different and as usual private way ahead of public government. Shocking.
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