I am on Medicare/disability and have never heard of such a thing. I just went through a full yr of treatment for breast cancer and never had a problem. Some of my meds were not pd for since I was in the donut hole and my prescription INS didn’t cover them but I just pd for them with no problem.
I took care of my mother for 4 yes and she was medi/medi, best INS anyone can have they pay for everything. For 4 yes the only thing they didn’t pay for that there was no generic for was Advair. She was a breast cancer patient so lots of doctors and treatments. She was never denied a doctor, treatment, or type of medication except the Advair and we just pd for it.
like I said, my experience is different.
Wasn’t big deal. got the meds the next day but I would have started getting agitated if they weren’t there the next day.
on the procedure, I don’t recall the specifics of what or why there was a limitation but, I do remember my response being on the order of “WTH”
What’s “the Donut Hole”?