Posts Tagged ‘57

17
Mar
14

“I’m One Grateful Old Lady”

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A Word from ’57 and Female’ (comment here)

I am going to be 64 years old in a few months and being self-employed for the last 33 years I have never had one of my medications covered by insurance. Never. Just to stay minimally healthy, my asthma, blood pressure meds and a few others are around $600/month.

We had awful insurance that never covered my asthma until there was no insurance at all for the last decade. I lived in constant fear.

I chose a Gold plan – for my last year and half until Medicare I wanted maximum flexibility and a low deductible: $500 and $3,500 out-of-pocket cap with a large network. I chose a co-op plan. These plans, with no profit incentive, were supposed to be a bridge to something akin to a public option. In the 2012 budget fight, the Republicans won the elimination of these plans from ACA but anyone who had a grant before then was grandfathered in. IL was able to establish an insurance plan/company that will run on overhead similar to Medicare and we all ‘own’ the company.

My premium, after some subsidy, is $558/month. Your age can still be a factor in premium cost, but with a cap. I do have co-pays on my medications – it will be about $140/month. But I’m still only out a little more for truly comprehensive health care than what I was paying retail for my meds before ACA.

To walk up to the CVS Pharmacy counter and give them my card was overwhelming. My $320 asthma med: $70 co-pay. My $160 nasal spray: $30. And so on.

I need to get my first mammogram. I need to go to the gynecologist for the first time in 10 years. When I was sick last week and even the meds from the doctor weren’t working, I knew if – God forbid – I needed the ER because I couldn’t breathe, I could go. I have insurance. I will not be denied, as I was in 1983 because ‘no one develops asthma as an adult’ sayeth BCBS and they wouldn’t pay for my hospital stay.

I’m one grateful old lady.

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