@chronic.kaleigh: It’s the “best” plan, but even so— NOT GREAT. Like wtf is an $8,300 out of pocket max? I’m so concerned because I ALSO will have to stop a few other medications and switch some doctors. So awful. #chronicillness #chronicallyill #chronicillnessawareness #healthinsurance #pots
Hey friend if it’s a branded drug and you meet certain income requirements some manufacturers have payment assistance programs that help you get the drug for free (Vraylar is one of them)
2026-09-11 02:00:09
34
not gracie :
that should genuinely be illegal...
2026-09-11 00:56:38
176
Woke Trad Wife 🇲🇽🖕🧊 :
This happens to me! Check GoodRX for coupons or if you’re close enough Mexico
2026-09-11 06:09:23
0
Audrey Perier :
Be prepared for the brain zaps! It is no joke it feels like electricity is going through every part of your body and it hurts. As someone who has had to cold turkey their antipsychotics before that was honestly one of the worst parts.
2026-09-11 03:27:05
17
cady :
Can your doc to a peer to peer to appeal insurance to cover it? They could say how changing medications could have negative consequences to your physical health as well. I do PA’s for a living basically and I always have to be super dramatic and 90% of the time it works. If it doesn’t work, then almost always the peer to peer works.
2026-09-11 02:03:06
14
isa.bella.rh :
This is so unfair. I’m so sorry…. I don’t know your situation but does the plan not have a separate extension request besides COBRA? A lot of private plans have exceptions if the disability began before 26, especially if you need medication that the plan covers, that are separate from the COBRA protections. If there’s a disability benefits counseling service in your area they may be able to help with this to see if there’s a different option for extension besides the COBRA extension— I think this would mostly be an employer/plan and state law based though, rather than a federal protection. Seven states let some nondisabled and disabled adults stay on a parent's plan until as late as 31. 17 states allow adults to remain insured if they meet specific requirements such as disability onset prior to 26. Wishing you the best, you still shouldn’t have to jump through all these hoops though. ❤️
2026-09-11 05:27:38
0
Sidney's NF Story :
My employer recently switched insurance companies. I've spent 11 hours in the last 9 days trying to avoid quitting all meds cold turkey and it's going... Incredible... They definitely don't want me quitting cold turkey but they also don't seem to want to cover everything either. Gotta love insurance! Sending love and encouragement!
2026-09-11 03:34:18
8
Erica Lynn :
Its a protected class, if you do a PA and Dr shows you are stable they should approve it. Other options are check manufacturer patient assistance programs and goodrx for coupons.
2026-09-11 04:32:55
3
emily :
TikTok isn’t ready for no anti psychotic Kaleigh 😂😂😂
2026-09-11 04:03:49
0
Disabled and Proud :
I am so incredibly sorry friend. My recommendations would be Mark Cuban’s Cost Plus Pharmacy, GoodRX, Amazon Pharmacy, or the manufacturer’s patient assistance program. I wish we didn’t have to worry about losing our medical care at the whim of insurance companies
2026-09-11 03:12:07
4
pasttenseofdraw.mp3 :
Keep pushing and doing appeals, and submit for external review once you can!!! You can also reduce the amount of other meds they want you to try first if you have contraindications to them! I REALLY overexaggerated my osteopenia and immune deficiency in order to get Dupixent approved instead of a PPI or steroid
2026-09-11 02:31:36
4
sama.jamma :
Many states have protections in place regarding this. You can check your state protections at steptherapy.com. It’ll also give you info on how to go about the process.
2026-09-11 03:36:50
2
RFK Jr hate account 🇨🇦|🇺🇸 :
Ugh I’m so sorry. Not sure if you’ve checked but I’ve seen some anti psychotics on cost plus drugs
2026-09-11 04:19:14
0
MJ | Pattern Recognition :
You can do a swab test in your mouth and they can match you to your antipsychotic thats right for you so you don't have to deal with overwhelming feelings of getting on and getting off a bunch of times
2026-09-11 04:26:44
0
mitzizas :
what medication? there maybe a way to get patient assistance, Janssen pharma manufacturer has a program, or frequently drug reps can get samples and put you in touch with resources
2026-09-11 02:39:29
4
floatawhile :
Insurance is evillllll
2026-09-11 02:22:27
1
CandlelitThoughts :
Just in case you haven’t thought of this… check the brand resource page for coupons,check goodRX and mark Cuban RX. I’m sure you know these things but thought I would make sure.
2026-09-11 00:59:05
3
Jay 🇨🇦 :
I’m so sorry, that’s so scary for you. I hope all the changes go well for you
2026-09-11 00:54:31
3
Elisha Cox :
If your receiving disability can you get some type of Medicaid ? Usually pays decent for the rx.
2026-09-11 02:01:11
1
Jamie :
May I ask what med and insurance? This is happening to my family member as well and it’s scary
2026-09-11 03:53:47
0
User789567 :
Call the pharmaceutical company they’ll give you a coupon
2026-09-11 04:16:09
0
✨️Skylar Gourley✨️ :
my insurance doesn't cover mental health I'm on 2 meds and last time I ran out things went real bad idk how much long I can get it
2026-09-11 03:54:01
0
user01847201747306353 :
Contact your ombudsman and file a grievance against the insurance company.
2026-09-11 07:18:31
0
Annette Smith :
We had to go back on an asthma med we already knew didn’t work for my daughter and document her regression for months before we got them to approve the one that worked.
2026-09-11 03:55:00
0
Laura :
have been through this before, i see a lot of suggestions in the comments i would have had, kind of assume you and your doctor looked at those avenues before going off said important med. wishing you the very best 💙
2026-09-11 03:33:23
0
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