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Myasthenia Gravis For support and discussions on Myasthenia Gravis, Congenital Myasthenic Syndromes and LEMS. |
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03-04-2016, 01:47 PM | #1 | ||
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Junior Member
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Do any of you know if Medicare and supplemental insurance will cover IVIG in a hospital outpatient setting?
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03-04-2016, 03:09 PM | #2 | ||
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Member
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I think it should, as long as your doctors have ordered it for you. My doctors mentioned the possibility of prescribing IVIG on an ongoing basis to me, possibly through outpatient administration. They knew I had Medicare coverage, so I think it must be possible. If you haven't had IVIG previously, they might want to administer it first while you're in the hospital, so that you can be monitored carefully.
Somebody else might have more information. You can also call Medicare and ask directly, or your supplemental insurance company. Take care, Erin |
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03-04-2016, 04:23 PM | #3 | |||
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I am on medicare and tri-care for life. I have to go to an infusion center for my IVIG. If I want to do it at home there is out-of-pocket charge which I considered too much. Thus far it has not cost me a penny. The infusion center is very nice. It is about 30 minute drive.
Mike |
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03-05-2016, 02:50 PM | #4 | ||
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Junior Member
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I am on Medicare for part A and B and a secondary supplemental insurance for part D. The insurance was complicated to organize because medicare did not cover my part D and so therefore as they were not paying for the drug product (IVIG) they would not pay for the nursing fees to administer it in home. However the infusion company had me fill out some paperwork for compassionate care assistance ( what's your income, how much do you spend on food, etc. for many pages) and to make a long story short they granted a waver for the nursing care fees for home infusion and I got to stay home and have it done there.
I got pretty nervous about all the paperwork, what would happen, would it all work out, how would the money work out , etc. etc. and turns out it was all just anxiety related to not knowing what to expect with the infusion. In the end, infusion went off without a hitch. |
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