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Author Topic: how do you pay for meds after 3 yrs on medicare  (Read 2030 times)
Seaweed
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Great day to be alive and thankful

« 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
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iolaire
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« Reply #1 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.
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Transplant July 2017 from out of state deceased donor, waited three weeks the creatine to fall into expected range, dialysis December 2013 - July 2017.

Well on dialysis I traveled a lot and posted about international trips in the Dialysis: Traveling Tips and Stories section.
SooMK
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« Reply #2 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.
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SooMK
Diagnosed with Uromodulin Kidney Disease (ADTKD/UMOD) 2009
Transplant from my wonderful friend, April 2014
Volunteering with Rare Kidney Disease Foundation 2022. rarekidney.org
Focused on treatment and cure for ADTKD/UMOD and MUC1 mutations.
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