Let The Goat Rope Begin!!!!

[BASSMAN]

 

Medicare denied my claim I filed on my immuno-suppressant drugs.  The reason (service not covered).  JESUS!!!!!
Ignorance abounds!

I have prescription drug insurance through my employer, however I still fork out about 225.00 a month out of my pocket.  It was my understanding that Medicare, being secondary payer, would partially reimburse some of my copay.

So now I have to file an appeal.

Has anyone had any similar experience???  How did it come out???

I can afford the 225.00 out of pocket per month but it is a chunk of change out of my budget. 

[paris]

What?  I am in the beginning stages of this drug thing.  I was really hoping they would cover the big drugs.  Well, so far we can cover the co-pays, but after awhile, we may have to choose between meds or food!    This whole Medicare things isn't going to be easy, is it?

[Rerun]

Keep us posted.  When I had my transplant 25 years ago there wasn't the ruling for the 3 year pay out but my understanding is that Medicare paid for 3 years of transplant drugs.

CALL them.

[jbeany]

They are billing it wrong - it needs to be billed under Part B, not Part D.  I don't pay a cent for mine.  If your hospital has a mail-order transplant pharmacy, sign up - it saves a whooooole lot of hassle to work with people who do nothing but transplant meds every day.