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See more rip-off examples: $167 invoiced to Medicare for $9 cost from Costco Pharmacy
Medicare invoiced $170 for $20 worth of medication...
Actual retail cost[1] vs price invoiced to Medicare by WellCare
This proves that the Medicare Part D "benefit" is a rip-off scam!
Medication & Cost

Invoiced to Medicare

Metformin, 90 day supply = $23.00 Metformin, 90 day supply = $104.00
Simvastatin, 90 day supply = $20.00 Simvastatin, 90 day supply = $170.00
Do the math on Medicare Part D with WellCare Health Plans
• Your retail cost: $23 + $20 = $43 every 90 days. That is $172/year. But you also have to pay the provider $29/month for the Part D premium. That is $348/year.

• Medicare is invoiced: $104 + $170 = $274 every 90 days. That = 1,096.00/year.

You receive only $172/year worth of meds. But since you had to pay WellCare 12 monthly insurance payments of $29 ($348/year) your annual cost is 200% of the retail! What benefit is that to you? None! You pay double what it costs without the Part D prescription drug plan.  Medicare Part D is not a drug benefit to you - it is a benefit to the Medicare provider.
• Your meds cost $40 wholesale/year.
• You can buy them yourself for $170 retail.
• The Medicare Part D provider reaps $1,170.00/year with a combination of your premiums + markup to the government.
• All you receive is $40 wholesale cost worth of meds. Uh, huh!

The US Government is invoiced a whopping $1,096.00 for your $172/year worth of meds and pays out to the provider 75% = $822 net.

The provider also receives your $348 in 12 monthly installments as "insurance premiums". The provider takes in $1,170.00 total. WOW!

How profitable is the provider scam?
The actual wholesale cost of the meds is a fraction of the retail price. Pharmaceuticals are commonly marked up 400% or more (even a lot more!) above wholesale. Research has shown, for example, that a 30 day prescription of medication that costs $4 to the pharmacy retails to you for a whooping $75.00. That is a 1,775% markup. Not a joke.

In the case shown here, for metformin and simvastatin, the cost may actually be about $40 for an entire years supply of these very generic (cheap) medications. Despite this the Medicare provider walks off with $1,170.00. What business can make $40 grow into $1,170.00 by doing nothing more than invoicing the government? Medicare!

Why Medicare cannot be reformed
According to the movie Sicko, every senator and congress person in Washington, DC receives money from drug companies, medical insurance firms, etc. Our "representatives" work for the corporations that profit from this ongoing medical scam. Healthcare is NOT expensive - its the layers of profit takers that lay on top of it.

The origins of the Health Maintenance Organization Act of 1973 are presented using a taped conversation between John Ehrlichman and President Richard Nixon on February 17, 1971; Ehrlichman is heard telling Nixon that "...the less care they give them, the more money they make", a plan that Nixon remarked "appeals to me". This led to the expansion of the modern HMO-based health care system. Connections are highlighted between Pharmaceutical Research and Manufacturers of America (PhRMA), the lobbying arm of the largest drug companies in the United States, lobbying groups in Washington D.C., and the United States Congress. [Source]
Moore's previous films such as Roger & Me, or Fahrenheit 911 were obnoxious. But Sicko is like Moore turned over a new leaf. He made a masterful statement with this movie. Sicko is Bravo!
[1] Actual full retail price at Costco Pharmacy

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