this post was submitted on 28 Feb 2024
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[–] ExtraordinaryJoe@reddthat.com 56 points 8 months ago (2 children)

On February 14 I met my max out of pocket for the year. I had an upper and lower GI taken which is the bulk of the cost. My insurance is already refusing to cover some of my diabetes medication, because some people use it to lose weight (Mounjaro). I need it to keep my A1C levels under 10. I already weigh the ideal weight for my height. Because it's so expensive and insurance doesn't cover it, I will end up going without for the rest of the year. My old insurance covered it, but my company switched insurance in January. New insurance has never equaled better insurance. I'm so tired of insurance being tied to my job.

[–] AA5B@lemmy.world 19 points 8 months ago (2 children)

I just want to make sure one of the options you tried was a different medicine. Doctors can be pretty good about playing the insurance game sometimes

[–] JasonDJ@lemmy.zip 5 points 8 months ago

I love how it’s some bureaucrats job to decide what medication is best for his needs. Not OP, who had been having desired results prior to his employer switching insurance, and not his PCP, who is more closely tied to his outcomes than anyone else.

[–] ExtraordinaryJoe@reddthat.com 4 points 8 months ago (1 children)

We have tried other medication, which is how we found that this one actually worked.

[–] AA5B@lemmy.world 2 points 8 months ago

I had to ask. I’ve had doctors figure out how to best insurance

[–] spider@lemmy.nz 7 points 8 months ago (1 children)

Have you tried any online Canadian pharmacies? That's what we had to do for a few of the scripts that were exorbitantly expensive here in the States.

[–] ExtraordinaryJoe@reddthat.com 2 points 8 months ago

This medication isn't available on a lot of those sites. I've looked, but I haven't checked Canada yet. I'll give it a go soon.