2024 Drug List

[Chazm]

Did you have to give a lot of guidance on the PURL for your clients?

90% would be awesome. 50% would be a win for me. I was concerned if it was intuitive enough for people to actually use smoothly.

I bought it and never used it. What ruined it for me was it was horrible on mobile or tablet.

 

[mdlovell]

I bought it and never used it. What ruined it for me was it was horrible on mobile or tablet.

I had had someone try it on their own while I watched them to see how easy it was for them. They had a tablet and it was not intuitive for adding new medications.

glad you said something because I didn’t consider the differences between tablet, mobile, desktop.

 

[yankee466]

I have my educated Med Sup clients input Rx to Medicare.com....and I tell them if they decide Wellcare PDP is a good choice for them that there is PURL on my site that they can use to enroll themselves. Every now and then I get a question on the process, but it appears to work rather well. I sure get lots of commission from Wellcare, and I use their PDP myself without issue.

I know I have lots of client who went SS $7 plan because they take little or no $ Rx...and heavily use GoodRx or Mark Cuban......and they will likely opt for the $.50 Wellcare plan in Georgia. In Florida that plan is zero.

All the 2024 PDP plans appear to suck either premium wise or Tier 3-wise. Sounds like a plan to force folk to MAPD where Tier 3 is still a low copay, and when you start to add expensive Part D to Med sup ever increasing premiums, it starts to makes MAPD look like an interesting option.

Pays to be healthy I guess.

 

[mcd]

I have my educated Med Sup clients input Rx to Medicare.com....and I tell them if they decide Wellcare PDP is a good choice for them that there is PURL on my site that they can use to enroll themselves. Every now and then I get a question on the process, but it appears to work rather well. I sure get lots of commission from Wellcare, and I use their PDP myself without issue.

I know I have lots of client who went SS $7 plan because they take little or no $ Rx...and heavily use GoodRx or Mark Cuban......and they will likely opt for the $.50 Wellcare plan in Georgia. In Florida that plan is zero.

All the 2024 PDP plans appear to suck either premium wise or Tier 3-wise. Sounds like a plan to force folk to MAPD where Tier 3 is still a low copay, and when you start to add expensive Part D to Med sup ever increasing premiums, it starts to makes MAPD look like an interesting option.

Pays to be healthy I guess.

I'd be sure to not direct them to Medicare.com unless you are purposely sending them to another agent.

 

[yankee466]

I'd be sure to not direct them to Medicare.com unless you are purposely sending them to another agent.

Yep…meant .gov

thanks

 

[kstein]

What is the solution for:

Symbicort
Breo
Advair

It looks like all 3 have generics but they are as expensive as the name brand or the name brand is only formulary

 

[yankee466]

What is the solution for:

Symbicort
Breo
Advair

It looks like all 3 have generics but they are as expensive as the name brand or the name brand is only formulary

Quit smoking

 

[DS4]

What is the solution for:

Symbicort
Breo
Advair

It looks like all 3 have generics but they are as expensive as the name brand or the name brand is only formulary

Sometimes, the brand is cheaper than the generic

 

[wehotex]

Ok, I am through 300 lists and ready to call it. I'm TX based, so this is a TX answer. And remember that 80% of my clients either pay IRMAA or appeal IRMAA.

1. My current SS Smart people are staying put. I tell them about the Wellcare 50 cent plan, but its not enough annual savings at this point to justify moving to a company/plan that has been fined by CMS multiple times for poor service and 1 star ratings. Most of them had it prior to 2023 and if I don't get paid, oh well.
2. The SS Smart drug list is horrific. I can't believe it got approved, but whatever. All I can do is advise people and remind them that they get what they pay for. But when you are happy with a plan, got a $3 increase and the deductible decreased, that's a tough sell. Plus, moving to WELLCARE.
3. Cigna is coming in consistently in the top 3, but not having Kroger is really hurting them. I have zero Cigna so far.
4. I am selling/renewing the crap out of the BCBSTX Choice plan. Even with a $9 premium increase, no one cares. The drug list is stellar. Interestingly, Walgreens and HEB are preferred, but CVS pricing is super close to Walgreens. Which is perfect for the SS Choice people who went from $24 to $41.
5. SS Choice is nowhere to be found.
6. Mutual of Omaha AND Wellcare both have some drugs I can't get covered elsewhere. Zioptan for MOO and...I can't remember what it is for Wellcare, but there are 2 clients going there for specific drugs that are only covered at Wellcare, according to both Medicare.gov and Wellcare website.
7. Humana and UHC are nowhere to be found. Which is interesting, since they are at the top of MAPD enrollment.
8. The trend continues for MAPD vs Part D pricing differential.
9. My UHC MAPD people are holding. My Humana MAPD people are pissy about increased copays and the MOOP. Moving them to BCBSTX or they are holding. I've got a THR/UHC MAPD nextwork issue looming for July 1.
10. I used Search and Save for the intake, but not running plans. Its worked about 90% of the time and well worth the $50/month. We are continuing to use Medicare.gov. I get a lot of positive feedback on this and it won't be changing.
11. Elixir and Amerivantage Part D plans are gone in TX and the members were NOT enrolled into a plan. These members have until 1/31 (it may be 2/28, but not sure if its a Medicare Termination (2/28) or Plan Termination (1/31), so safe answer is 1/31) I am absolutely disgusted with CMS over this issue. I have to get 457 forms signed showing I can be an agent and they are allowing people to not have a drug plan next year. So much for protecting some of our most vulnerable citizens-seniors with un-diagnosed dementia.
I AM LIVID OVER THIS OVERSIGHT.

Great insight! I like the BXBSTX plan because it offers the flat $47 copay for T3 after deductible vs the percentage that the others seem to offer.

I also had a tough customer this year who was trying to get the BRAND name Keppra through the exception process. Her specialist praised her for having BXBSTX PDP, which approved it as T4 for the year.

 

[kgmom219]

Life is easier when you don't have to put up with that kind of crap. It's the price I agreed to pay when I switched to Medicare only + PDP "consult" only (no AOR, no comp).

I don't think either one of them pay, but you are missing the point.

Think someone with these plans, getting bombarded with mail and ignores the notices the plan is ending on January 1.

Goes to the pharmacy to get their life saving meds on Jan 2 and has no coverage.

CMS has 587 rules to make sure agents aren't stealing from people and let this go through. I am LIVID.