No insurance, everything out of pocket. I'm including supplements and food for about $1000/month. Food is medicine.
I'm very ill, and I take more supplements than anyone I know, sick or healthy. I generally take supplements that are only found in food.
I've never had insurance cover anything that works. Coverage is generally decades behind recent research.
About 4 years ago now I came to the conclusion that my poorly understood illness was caused by the vaccinations I received as a child. Many of the vaccines I received were pulled off the market in the USA by 2005. Although, I think the ones I received after 2005 also worsened my condition. Given this, I doubt I'll see any appropriate funding or acknowledgement of my illness for decades.