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Covering The Cost Of Remicade When On Medicare?

A myRAteam Member asked a question 💭
Lewisville, TX

I work full time now with insurance benefits but would like to retire. The hold up is insurance. Of course when I do retire I will be on Medicare/Supplemental, is anyone on Remicade while Medicare covered? Trying to get information on what supplement company will cover Remicade.
Thank you in advance.

December 8, 2022
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A myRAteam Member

I used an independent insurance advisor. She asks every year for updates and shops policies from many companies, not just one that employs her. I have A, B, D, and supplemental Plan G. I do not take Remicade, but I do take an infusion. It must be done at a hospital or infusion center, but coverage is very good. The Plan G covers everything but a small Medicare deductible at the beginning of every year. I've used this arrangement for about 5 years and never made any changes in my policy.

December 10, 2022
A myRAteam Member

Hi and good morning Becky,
I worked for the city of Hartford CT for 25 yrs, i took the entire health care policy with me, today Medicare covers 1st.
But i have Part A & B, but my old city Ins still covers,, all my meds,, the first 90%, then i have co-pay help
through the state of NY, to help with co-pay. my old city ins is still free to me and the Drug plans are also
still no cost to me, this is for at home self injections [ Humira and EnBrel ].
DR. office visits to get infused,,[Remicade] ,, Medicare will pay 100%.
Hope you have a nice day, be well. joe

December 10, 2022
A myRAteam Member

Thank you Joseph for your reply. What medication supplement policy did you have to cover the Remicade itself?

December 8, 2022
A myRAteam Member

Medicare Does pay for Remicade IV as long as its done in the Dr. office by a RN.
Medicare does Not pay for at home injections like Humira which i am on or like enBrel.
i was taking Remicade for years, my system built up anti-bodies against it - so it stopped working
on me, sadly. Be well

December 8, 2022

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