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In Memorium
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Join Date: Sep 2006
Location: So Cali
Posts: 661
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In Memorium
Join Date: Sep 2006
Location: So Cali
Posts: 661
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Billye
Unfortunately Medicare doesnt make any decisions regarding your coverage based on past when you have them only..... and, depending on your condition, as Dahlek mentioned - the way you covered by Medicare on IVIG depends on your condition.... PID (acquired Immune) is covered under Part B, while acquired conditions like CIPD (which require a higher dose of IVIG to control,) under Part D - so the consumer bears the brunt of the drug cost.... Perhaps if you contact IG Living also, they could be of help? They are very actively lobbying for coverage for all who need this treatment - but restrictions on keeping it even for those of us currently being covered are being tightened - of course your doctor needs to show proof that it is helping - and Plan D's are hiring consultants to continually review all patient charts - so more and more pressure will be put on the docs to produce this - and even then its no guarantee.....
Again, urge you to contact IG Living - they are wonderful and respond almost immediately - and I'll bet if there is any headway being made with Sjogrens - they will know or can direct you to who does....
(and yes, those with private insurance its much easier) Plus, under Plan D unless you recieve financial relief - once you reach catatrosphic you continue to pay a percentage co-pay all year for the med.
I hope you can get this treatment and that it will help!
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