I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: Medicare/Insurance => Topic started by: Seaweed on February 05, 2019, 07:19:42 PM

Title: how do you pay for meds after 3 yrs on medicare
Post by: Seaweed on February 05, 2019, 07:19:42 PM

I was reading that medicare stop paying for meds after 3yr on transplant on Medicare , I just turn 66 and my only insurance is Medicare .I beleive meds are about 15k year, and medicare doesnt pay.  anyone out their

Title: Re: how do you pay for meds after 3 yrs on medicare
Post by: iolaire on February 06, 2019, 04:58:05 AM

I believe if you have drug coverage under Medicare part D then coverage will continue. All the Medicare ending talk should be for those of us with coverage from ESRD who don’t qualify for Medicare otherwise.

Title: Re: how do you pay for meds after 3 yrs on medicare
Post by: SooMK on February 06, 2019, 10:52:22 AM

Yes, what Iolaire said. If you already qualify for Medicare for your medical coverage and your transplant is covered by Medicare you have continued coverage of your anti-rejection drugs after three years under Medicare Part B. At least that's how it has worked out for me. If you don't have a supplemental plan though you will want to look into what your share of those drugs will be, since 20% of a lot of money is still a lot of money. Your transplant clinic should go over all of this with you but I thought the financial office at my clinic was really bad. The costs they predicted never materialized but I was apprehensive that I had overlooked some rule. The drugs, particularly the first year, did have expensive co-pays but 5 years after my transplant, my anti-rejection meds are covered under Part B and my supplement plan pays the rest.