I also have supplemental medical which costs $168 a month. Medicare takes their Part A and B medical plan out of your Medicare check and it costs about $105. Part A and B pay for approximately 80% of "covered" medical costs...that why you need a supplemental medical plan for that unpaid 20%.
Medicare is a Federal Program and is the same in each state. Medicaid is different state by state.
Medicare part A is for hospitalization (100% after deductible is met) No drug coverage. Medicare part B pays for out patient tests and doctors visits (80%) No drug coverage. Medicare part C which I am not very familiar with but do know it's an advantage plan where the insured has additional benefits besides what part A & B will pay. It also includes paying a premium and may include drug coverage with a limitation.
Medicare Advantage Plan (Part C) (like an HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage. You get all of your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage, and prescription drug coverage (Part D), through these plans. Medicare Advantage Plans with prescription drug coverage are sometimes called “MA-PDs.” You must have Part A and Part B to join a Medicare Advantage Plan.
Hope this helps.
Co has been subpoenaed by the US Department of Justice as part of a criminal investigation into marketing practices for three prescription medicines.
The products in question are Temodar (temozolomide) for brain cancer and hepatitis C and cancer drugs PegIntron (pegylated interferon alfa-2b) and Intron A (interferon alfa-2b), according to Merck's just-published quarterly report. All three of the drugs were acquired when Merck bought Schering-Plough in 2009.
I am on a Medicare Advantage Plan and the only way I could get it covered was to go to the infusion clinic and have it covered under Medicare PART B. It is very important if you have Medicare to specify PART B because it is covered differently. By doing this, my co-pay per injection was $200 however, I have a secondary insurance through my husband's work so the secondary picked up the co-pay.
We know the tumor is in a slightly different area than it was originally. He is in treatment (Temodar for the second time) for the third recurrence of his tumor. We have always been told it is in an area where surgery has not been an option. The oncologist does say he believes it is a higher grade. We think he believes it is glioblastoma but he won't say that definitely without doing another biopsy.
I'd expect that most ophthalmologists would accept Medicare Part B. Try calling.
Interestingly Medicare does not pay for B-12 injections, which really puzzles me. I pay at least fifty dollars a time . Five the the medication and forty five for the injector ! I figure I can save myself forty five dollars a month ! Also my doc is forty five minutes away which adds gas cost. Not used to having to pay for meds ! The weekly ones I just finished were given at the docs office.
I am on Medicare A and B and Medicare A and B cover only 80% of the costs of tests, doctors, hospitalizations, etc and it covers no prescription medical expenses. I have another insurance policy that covers the 20% of the costs that Medicare does not pay and also covers the cost of my medications. (I have deductables and co-pays but they do not in any way add up to the amount I would be paying if I did not have that second insurance.) So, my advice is, don't drop Cigna.
After researching, I find out that I had to elect Medicare B? I was never told this, and therefor I have no paperwork on it. I did go to the SS office when I received a notice that I had Medicare Part A, which they automatically enroll you in after 24 mths. of Cobra, but I elected not to pick up Part B, as my Cobra covered Dental, Vision and Health. At this time again, I was not told that I had to sign up for Part B.
My Insurance Company received and cashed all of my payments.
Under the health care law, the penalties gradually will rise until 3 percent of Medicare payments to hospitals are at risk. Medicare is considering holding hospitals accountable on four more measures: joint replacements, stenting, heart bypass and treatment of stroke.
If General Motors and Toyota issue warranties for their vehicles, hospitals should have some similar obligation when a patient gets a new knee or a stent to relieve a blocked artery, Santa contends.
Anyone on medicare have any experience or enlightenment on provigil financial help?
I've been quoted 33% copay (tier 4) by my drug insurance company which is over $300 for me
The online sources I've contacted no longer cover provigil since the generic came out
and the generic is about the same price...
Looking for financial assistance sources if anyone knows of any
thanks!
Check and see if she has Medicare Part B which includes hospital coverage. She can be hospitalized if she is "dangerous to herself or others" which is the criteria in all states (some have further criteria). She will be hospitalized as long as it takes to stabilize her. That's the psychiatrists's decision but hospital stays are shorter than the past due to insurance coverage limits. An average hospital stay is 2 weeks but it can be longer if the person really needs help.
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