This video is about one of our clients' favorite dental plans. It is a PPO and they offer very high plan limits: th-cam.com/video/dNLKm1-LOAU/w-d-xo.html
What about the obesity problem in America? Medicare will not cover any weight loss medications and that is so sad. Obesity is a disease! I am currently on a weight loss journey and am responding well on zepbound(tirzepatide) by Eli Lilly. I about dropped to the floor as to the cost of 1036.00 per month for 4 weekly injections. I’m on SSD. My health is at risk. So thousands of people like me are forced to use establishments who use compounded versions at less than half the price. I’ve lost 48lbs since April ‘24. My A1C is down, my osteoarthritis doesn’t not hurt nearly as much. My bp is down. My mental health has improved. So many great things happening! But if I opted for bariatric surgery I probably would have been approved back when I was 48 lbs heavier. I don’t understand. Why is surgery approved but a simple weekly injection not covered. I read Medicare part D is still back in the 90s when Phen phen was introduced and caused major heart issues and or death. They considered wt loss to be “cosmetic”. When will they finally understand people with obese issues need help and are dying or really sick. Thank god at the age 65 and and struggling with weight all my adult life I have someone dear to me sponsoring my weight loss compounded medication. If I didn’t have that support I either would be on that spiral and continued wt gain or had the sleeve surgery by now. I don’t know about any one else but I rather give myself an injection than going into the ER. I’ve been much healthier and feel better both mentally and physically. I’ve been through denials and denials. How to appeal? Is it worth it? I’m venting and very upset with the system. Thank you for listening! I’m in a quandary. As all the other obese human beings.
I am so sorry. That is so frustrating. So to confirm, you've already tried the appeal process? www.medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans Is there any way Ozempic could be prescribed/would work for your situation. It seems that many Part D plans do cover Ozempic: www.medicare.org/articles/does-medicare-cover-ozempic/ I would highly encourage you to make an appointment with a broker during the AEP. Based on where you live and what is available to you, they may be able to provide some background and help guide you towards a plan that is perhaps more likely to work with you on appeals. Some plans have better customer service than others or are more flexible. If there is any way we can help, please give us a call at 888-0410-0344.
@@jolangan9740 I know I already responded, but look what its way into my inbox today! www.managedhealthcareexecutive.com/view/semaglutide-may-become-medicare-part-d-s-most-expensive-drug
Super helpful! Thanks
Glad to be of help!
Great video ;)
Thank you!
Just found your channel. Really informative!
Welcome! Thanks for your comment
What dental plan do you recommend?
This video is about one of our clients' favorite dental plans. It is a PPO and they offer very high plan limits: th-cam.com/video/dNLKm1-LOAU/w-d-xo.html
What about the obesity problem in America? Medicare will not cover any weight loss medications and that is so sad. Obesity is a disease! I am currently on a weight loss journey and am responding well on zepbound(tirzepatide) by Eli Lilly. I about dropped to the floor as to the cost of 1036.00 per month for 4 weekly injections. I’m on SSD. My health is at risk. So thousands of people like me are forced to use establishments who use compounded versions at less than half the price. I’ve lost 48lbs since April ‘24. My A1C is down, my osteoarthritis doesn’t not hurt nearly as much. My bp is down. My mental health has improved. So many great things happening! But if I opted for bariatric surgery I probably would have been approved back when I was 48 lbs heavier. I don’t understand. Why is surgery approved but a simple weekly injection not covered. I read Medicare part D is still back in the 90s when Phen phen was introduced and caused major heart issues and or death. They considered wt loss to be “cosmetic”. When will they finally understand people with obese issues need help and are dying or really sick. Thank god at the age 65 and and struggling with weight all my adult life I have someone dear to me sponsoring my weight loss compounded medication. If I didn’t have that support I either would be on that spiral and continued wt gain or had the sleeve surgery by now. I don’t know about any one else but I rather give myself an injection than going into the ER. I’ve been much healthier and feel better both mentally and physically. I’ve been through denials and denials. How to appeal? Is it worth it? I’m venting and very upset with the system. Thank you for listening! I’m in a quandary. As all the other obese human beings.
Correction; I meant I rather injections once a week than going under the knife in the OR not er******
I am so sorry. That is so frustrating. So to confirm, you've already tried the appeal process? www.medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans Is there any way Ozempic could be prescribed/would work for your situation. It seems that many Part D plans do cover Ozempic: www.medicare.org/articles/does-medicare-cover-ozempic/ I would highly encourage you to make an appointment with a broker during the AEP. Based on where you live and what is available to you, they may be able to provide some background and help guide you towards a plan that is perhaps more likely to work with you on appeals. Some plans have better customer service than others or are more flexible. If there is any way we can help, please give us a call at 888-0410-0344.
@@jolangan9740 No worries!
@@jolangan9740 I know I already responded, but look what its way into my inbox today! www.managedhealthcareexecutive.com/view/semaglutide-may-become-medicare-part-d-s-most-expensive-drug