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Author Topic: Medicine free in-center, costs big bucks at home  (Read 2454 times)
silverhead
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« on: August 07, 2008, 07:24:41 PM »

Sharon's PTH levels started climbing and the Doctor gave us about a months supply of Zemplar to control it, latest lab tests indicate it is working well for her. If she was doing in-center treatments it would be administered by the Nurses through the machine, and we of course cannot do the same with the NxStage. The costs for this would be covered by Medicare, but seeing as though she is home hemo, we have to pay $226.00 a month for the pills, this is bull....
Tom
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Do not argue with an idiot. He will drag you down to his level and beat you with experience.
Adam_W
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Me with Baron von Fresenius

« Reply #1 on: August 07, 2008, 07:38:52 PM »

I had this same problem when I started home hemo. I was on Zemplar in-centre, and when I started NxStage I had to switch to oral Zemplar, which at first was paid for by Medicare. A month or two later I found out Medicare would no longer pay for the oral Zemplar, and I would have to pay over $200 dollars for it. So my doctor switched me from Zemplar to Hectoral, and I haven't had any problems with Medicare paying for it.

Adam
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


"Don't live for dialysis, use dialysis to LIVE"
flip
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« Reply #2 on: August 07, 2008, 07:58:05 PM »

Part D (if you've got a good one) should cover it with a small co-pay. You might also try www.pparx.com
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cherpep
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« Reply #3 on: August 08, 2008, 06:35:06 AM »

I was warned about that when switching to home care.  So far, I havent' been prescribed anything other than my binders.  Here's hoping.....
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