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A MyMigraineTeam Member asked a question 💭
Loysburg, PA
May 26
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A MyMigraineTeam Member

I had to switch from Medicare Advantage and resort to Medicare and purchase a supplement. My current plan is $6/month and I have already arrived at my catastrophic limit. Now my drugs are at zero cost until next January. A few of drugs require prior authorizations but have not had an issue with doctors providing that to insurance company.

June 4
A MyMigraineTeam Member

Do you have traditional Medicare with Medicare Part D and a supplementary plan, or a Medicare Advantage Plan? It is important that you do research about out of pocket medication costs with whichever plan (s) you are considering,.
It is my understanding that typically Medicare Advantage plans do not cover as many high-cost medications, but that Traditional Medicare ( especially part D for drugs) tends to be more expensive. I take two pricey meds ( Qulipta and Botox— $1000 - $1200 each monthly) on my husband’s work insurance, but am facing Medicare application within the next couple months. I fear they will not be covered, and $24,000 annually is a big chunk of change! I haven’t started researching specific plans yet. Would also appreciate anyone’s input.

May 27
MyMigraineTeam

Affording migraine medications on a fixed income can feel overwhelming, but there are several strategies that can help stretch your dollars further.

Here are some practical tips to consider:

- Ask about generics — Talk to your doctor about whether a generic version of your migraine medication works just as well as the Show Full Answer

Affording migraine medications on a fixed income can feel overwhelming, but there are several strategies that can help stretch your dollars further.

Here are some practical tips to consider:

- Ask about generics — Talk to your doctor about whether a generic version of your migraine medication works just as well as the brand-name option. Generics are almost always significantly cheaper.
- Check manufacturer programs — Many drug companies, especially for newer and more expensive migraine medications like CGRP inhibitors, offer copay assistance or patient support programs. Going directly to the manufacturer's website is a great place to start.
- Search for coupons and discount programs — Websites that offer reduced-cost medications can sometimes beat even your insurance pricing.
- Compare pharmacies — Prices can vary widely between large chains, online pharmacies, and local pharmacies. It's worth shopping around.
- Review your insurance coverage — If your current medication isn't covered, your doctor may be able to suggest an alternative that is covered and still provides relief.

One MyMigraineTeam member shared that their insurance stopped covering their medication after 14 months and pushed them to switch — so knowing your options ahead of time really matters.

If managing all of this feels like too much on top of dealing with migraines, don't hesitate to ask a trusted family member or friend to help navigate the paperwork and research.

May 26

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