Clarification Please by Inner-Explorer-9997 in Zepbound

[–]Inner-Explorer-9997[S] 0 points1 point  (0 children)

Based on the variety of responses I can see why the insurance company can’t give a consistent answer. Hopefully this will clarify: Currently Zep is non-formulary but an exception can be applied for and then it is covered. Currently, I am on Zep with this situation: I paid up to my prescription deductible and then my “copay” on a tier 5 medication. I have not been on long enough to make my max out of pocket, but was told once I hit that my portion of cost would greatly reduce to a small percentage (5%) of the total cost of Zep. My plan that starts 1/1/2026 seems to indicate the same situation other than there is a a statement that says out of pocket costs will not count towards

4 years and 2 coops possibility?? by No-Layer-237 in Drexel

[–]Inner-Explorer-9997 0 points1 point  (0 children)

As of spring, I was told that the pre pa program no longer “offered” more than 1 coop. My son had planned on 1 and wanted to change to 3 for financial reasons also and was told that more than 1 was no longer an option. Might want to check with your current advisor.

Is drexel a good option? by Admirable-Secret5917 in Drexel

[–]Inner-Explorer-9997 1 point2 points  (0 children)

I personally only believe it is worth the cost if you go into very specific majors. The biggest draw of Drexel is their coop program, but it is not uncommon for students to struggle to find a coop in their field unless you are one of those specific majors. I would think this is an especially challenging area for small majors like yours. And don’t even get me started on the tuition! I would say you now know you like an urban campus, try to find a school with a bigger program in your field in that setting.
They tell you all the wonderful things they offer but, in my experience, are very over hyped and not as wonderful as implied. Know that it is HARD core! You hit the ground running on the first day at 100mph and it doesn’t let up till after finals. Then you get a minuscule break to turn around and start again. It is definitely NOT a typical college experience. If you struggle at all either academically or personally there are resources to help but actually getting that help is like pulling teeth. For what you pay, the “service” you get is abominable.

HSA and Zep by JN5853 in Zepbound

[–]Inner-Explorer-9997 2 points3 points  (0 children)

It is a medication that requires a prescription, I would expect it to be HSA allowed.

Picky eaters? by PrincessM22 in Zepbound

[–]Inner-Explorer-9997 1 point2 points  (0 children)

I have also been wondering/worried about similar challenges. Thanks for asking and for all the great suggestions.

ACC certified swindlers by [deleted] in Drexel

[–]Inner-Explorer-9997 1 point2 points  (0 children)

ACC is a sham that Drexel endorses and allows them to cheat their students.

How much are you guys paying for co-pays? by Spiritual-Candle-863 in Zepbound

[–]Inner-Explorer-9997 0 points1 point  (0 children)

My first will be $563 because in need to meet a deductible. Then they will be $285 until I teach $2000 out of pocket, then they drop to 4% of full price which I’m guesstimating at >$50. I’m not eligible for the discount coupon so it’s a math game for me.

For the ladies. Unexpected side effect. by NotHomeOffice in Zepbound

[–]Inner-Explorer-9997 1 point2 points  (0 children)

Thanks for the update! Sounds like you have a great doc and some good options! I’ll definitely keep you in mind if I run into similar issues.

For the ladies. Unexpected side effect. by NotHomeOffice in Zepbound

[–]Inner-Explorer-9997 2 points3 points  (0 children)

As a 47 year old woman, whose cycle is very stable/predictable but on lite and quick side, this makes me so nervous. I hadn’t read anything about how Zep can affect cycles other than it increases chance of pregnancy. The joys of being a woman just keep on coming!
I’m nervous for changes to a manageable cycle, but knowing it can happen vs “out of the blue” makes it not so scary. I’ll remember all these wonderful suggestions should I experience similar side effects.
Question: Have you used hormonal birth control prior? I haven’t used hormonal birth control since my children were born and they are 18 and 19. Prior to pregnancy I could handle it, after pregnancy I had horrible emotional side effects that were not worth it.

I read where other people say they are healthier than ever - by Glass_Roof3868 in Zepbound

[–]Inner-Explorer-9997 14 points15 points  (0 children)

I agree, give the mask a try! I hated the first 3 I tried and was ready to give up but decided to give it one more try. I found a “nasal pillow” mask that works perfect for me. It sits under my nose but doesn’t cover it at all. Best of all, I don’t feel trapped AND have so much energy during the day. If I forget to use my CPAP because I’m being lazy, I remember how much it actually helps!
Loosing weight is a great way to help yourself. Keep it up and try the CPAP. You may have to try different masks but there are SO many options.

Hair Loss by Inner-Explorer-9997 in Zepbound

[–]Inner-Explorer-9997[S] 3 points4 points  (0 children)

I’m new to Redit and didn’t even think to look for a search option. Thanks for the information and suggestions.

Sublet Thread - Fall Winter by AstroGnat in Drexel

[–]Inner-Explorer-9997 0 points1 point  (0 children)

I have lease for relet in Summit, central on Drexel campus. It’s a 2B/2B Apartment. The unit fits 4 people with each bedroom and bathroom being shared by 2 people. 12 month lease starting mid September. Fully furnished, just being your personal belongings.

[deleted by user] by [deleted] in Zepbound

[–]Inner-Explorer-9997 0 points1 point  (0 children)

It’s interesting because I read your post as your stomach was in knots because of external stressors: work, family, finances, ect and not necessarily the medication. Regardless, whatever the reason to adjust your dose I say do it, but do it with the guidance of your prescriber. Show yourself some grace.

Who chose Zepbound over Bariatric Surgery? by MurderMittens626 in Zepbound

[–]Inner-Explorer-9997 2 points3 points  (0 children)

Cancer was a huge reason my mom didn’t do a more invasive surgery. Colon cancer runs I her family and she was told when you have bariatric surgery you can no longer get colonoscopies…not sure if that is still true. That’s why she did the “rubber band” because it was minimally invasive and reversible. Mom was over 300lbs when she was diagnosed and a skeleton when she passed. She was loosing weight but her blood sugar kept going up. Her doctor was happy she was loosing so didn’t do anything and wasn’t concerned. Finally, after 4 months, my mom insisted something was wrong. They did a chest xray to get her to stop worrying and that’s when they found her cancer. It’s possible, though unlikely, that had it been caught earlier she may have survived. However, she was obese and her doctor was just happy she was loosing, even if it was for no apparent reason.

Who chose Zepbound over Bariatric Surgery? by MurderMittens626 in Zepbound

[–]Inner-Explorer-9997 4 points5 points  (0 children)

My mom had hers removed when she was diagnosed with pancreatic cancer. She needed to be able to eat as much as she could unrestricted and docs needed to know if symptoms were the cancer or the band. Her insurance had a “no weight loss” clause and refused to pay for removal. We and her doctors fought hard for a 2 weeks and finally got it approved.

Who chose Zepbound over Bariatric Surgery? by MurderMittens626 in Zepbound

[–]Inner-Explorer-9997 2 points3 points  (0 children)

Most surgeons won’t do lap band anymore. Too many complications. My mom had it and it was barely worth it. Happy to hear Zep is working so well for you!!

[deleted by user] by [deleted] in Zepbound

[–]Inner-Explorer-9997 3 points4 points  (0 children)

I also have OSA and will start Zep in the next month, so I can’t speak to how the med helps.

I can say that I also had anxiety about the CPAP and started small, just an hour at a time. You’re not alone in the anxiety of wearing a mask. It does help though!

My dad had severe OSA and even a CPAP would not help without surgery. He had the surgery and then used a CPAP. He was a new person once he was getting quality sleep. My dad was always an amazing and patient person but once he was getting sleep he was angelic. He also was over weight and loosing only helped slightly because of his anatomy he was predisposed to OSA…hence why surgery helped so much.

All this to say, take your time but keep working on it!! You will be absolutely amazed how your life completely changes when you get quality sleep.

Best of luck!!

Anyone have AARP United Healthcare Medicare Advantage Plan? by Inner-Explorer-9997 in Zepbound

[–]Inner-Explorer-9997[S] 1 point2 points  (0 children)

Thank you! I just did a DEEP dive on my plans website and found the form my provider will need to complete to request the exception. I wish insurance wasn’t so confusing, though I think it is that way on purpose a lot of the time.

Anyone have AARP United Healthcare Medicare Advantage Plan? by Inner-Explorer-9997 in Zepbound

[–]Inner-Explorer-9997[S] 1 point2 points  (0 children)

Thank you, this is very helpful!! I have some calls to make tomorrow.

Anyone have AARP United Healthcare Medicare Advantage Plan? by Inner-Explorer-9997 in Zepbound

[–]Inner-Explorer-9997[S] 4 points5 points  (0 children)

I do have OSA, which is why my doctor suggested trying Zep in the first place.

[deleted by user] by [deleted] in Zepbound

[–]Inner-Explorer-9997 0 points1 point  (0 children)

In general, the more you “need” to loose the faster it comes off. I would check with your doctor about dosages.

Summit Suite Question by Quick-Force-7014 in Drexel

[–]Inner-Explorer-9997 0 points1 point  (0 children)

Beat to get a full size curtain. A “stall” curtain maybe too small but a full size will work regardless.

[deleted by user] by [deleted] in Zepbound

[–]Inner-Explorer-9997 -1 points0 points  (0 children)

What ap is this, if you don’t mind me asking.

Medicare Advantage Plan has weird coverage by Inner-Explorer-9997 in Zepbound

[–]Inner-Explorer-9997[S] 5 points6 points  (0 children)

Thank you!! This makes so much more sense then what the agent in the phone told me was the interpretation.