Zenpep Savings Card And Deductible Question

Updated

My son (27 years old) was diagnosed with CF at the age of 4 months. He has been on Zenpep for the past 10 years. Since he is 27 years of age, he is now off of my wife and I commercial insurance. He is self dependent and has a good job and his health is doing pretty good. Even though he has a good job and decent insurance, he has a deductible plan and that also goes for his Prescription medications of $5,000. The Zenpep saving card is a HUGE help if he just owed $400 or $500 a prescription as it would cover the cost. However, he has to meet his deductible of $5,000 and even help with the Zenpep savings card he would still owe about $1,500 for his prescription. That would last about 90 days and then he would have to pay another $3-4k for another 90 days. He does not qualify for Medicaid (plus there is a long wait for that anyways, and they go off income from last year) My wife and I simply cannot afford to pay this amount of money for his enzymes. I am afraid he is in that donut hole of making too much money to get on assistance as he his "too healthy" and he doesn't make enough money to pay for prescriptions. I am at a total loss on what to do. Been dealing with this stuff for years now and it has just gotten worse. He has been without his enzymes for 6 months and his health is starting to decline. I just don't want him to get to the point that he has to quit his job for over a year to "try" and qualify for assistance and fall into the decline of needing Government help and being non productive and living a full life. Any help would be great if you have advice.

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