Quote:
Originally Posted by Northendzone
^ so what happens in the new benefit year?
Drug plans with maximums for life sustaining drugs are poor plan design. Maximums make sense for fertility drugs, or smoking cessation.
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They reset my balance to zero for that year. As for the drug, the coverage didn't change going forward, so I stopped taking it. It wasn't life-sustaining, just a migraine drug (aimovig). I don't even know if it was working yet, and with the cost to find out, we tried other treatments.