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» LymeNet Flash » Questions and Discussion » Medical Questions » Medicare Questions re IVIG

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Author Topic: Medicare Questions re IVIG
Rumigirl
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For anyone who has original Medicare, or who knows about it.

I need to switch soon from private insurance to original Medicare and have a number of questions that are difficult to get answers to.
Any answers anyone has, or where else to ask would be welcome.

Is IVIG covered under original Medicare?

Is it covered under Part B, or also Part D (med plan?

What about if you have in administered in an out-patient clinic, under Part B?

I think that there is a new rule as of this year that home-care IV can be covered under Medicare, but am not sure what is what with it.
My old infusion company that I went through doesn't contract with

Medicare. They did say something about Part D covering the med. But then what about the nursing and supplies---that would get way too expensive out of pocket.

Thank you!

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Bartenderbonnie
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Sorry Rumigirl

I answered your IVIG question on your IV Antibiotic post.

So while I’m here, I might as well answer your IV Antibiotic question on your IVIG post.

I have not been on IV antibiotics. Yet.

If you go with home-care, you choose a visiting nursing association. They will order your meds after your doctor faxes over your script. They will deliver your meds along with all your supplies. You have to be home to sign for it.

I believe you have to be home bound for Medicare coverage.
It’s easy to be considered home bound. Just tell your doctor you are home bound. Because we are.

The homecare nurse fee is covered by Medicare part B.
The meds and supplies are covered under Medicare part D.
Medicare pays 80%. Patient pays 20%.

Also, the visiting nurse pharmacy department was the most helpful in navigating Medicare. I must have phoned them a dozen times and they explained the Medicare maze in layman’s terms.

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Rumigirl
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Wowee, zowee, this info is incredibly helpful!! Thank you sooo much!!
That's a great idea to call the visiting nurse pharmacy department!

I wouldn't be surprised if IV treatment would help you a lot, but, I realize that means affording an LLMD, affording the meds, and navigating all of that. About that fairy Godmother . . . !!

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Rumigirl
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OMG, i am going crazy; Medicare is completely bananas!!

I've been crunching the numbers on the med plans. First of all when I first entered all of the meds that I'm on and that I may be on soon, which took forever, the Medicare website got rid of all of it without giving any info!!

So today I did it after making an account and signing in. I got a bunch of plans that are majorly expensive and don't cover a lot of the meds at all. Luckily, I made a pdf out of the "cheapest" plan, which was $72.70/month just for a med plan.

Then, it disappeared the whole thing again!! It took me forever each time to enter it all! Plus, many of the meds cost 4-5 times the cost of the meds without insurance---whaaat?? The whole thing was massively expensive. And that was the cheapest.

Many of the meds would be completely unaffordable. It might save me money on a few meds, but . . . it makes NO sense at all!

Sorry, this is a rant, and it doesn't accomplish anything. I just don't understand.

Then, there is the stupid law that doesn't allow manufacturer coupons (that I've been using for years), on the idea that it saves the government money. But the government doesn't provide the med plans; private insurance does! And those meds now will be completely unaffordable for me with no substitutes for them. [bonk]

Posts: 3697 | From around | Registered: Mar 2008  |  IP: Logged | Report this post to a Moderator
   

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