marianwolf
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Total Posts
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208
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- Joined: 6/24/2011
- Location: Atlanta GA USA
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Medicare Coverage for Treatments - Chemo/Rads/Hormone
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Thursday, September 22, 2011 5:47 PM
Is anyone here using Medicare for their treatments? I'm enrolled for October of this year and wanted a bird's eye view of what to expect. Thank you!
Marian
Marian DX June 20, 2011 IDC, E+P-, HER2-, Ki67 49% Lumpectomy 7/26/11 & 8/23/11 Lymph nodes clear! BRCA 1-/2- Stage 1, Grade III Oncotype: 36% Taxotere/Cytoxn 1 2 3 4 12/12/11 33 Rads completed 3/16/12 Start Arimidex 3/17/12 [link=http://www.caringbridge.org/visit/
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ElaineQW
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- Joined: 4/1/2008
- Location: San Diego, CA
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Re:Medicare Coverage for Treatments - Chemo/Rads/Hormone
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Thursday, September 22, 2011 7:08 PM
Marian - I am on Medicare with a secondary insurance (Blue Cross Blue Shield). I did not pay any money out of pocket. I hope you have the same experience. My docs and treatments were all at the University of California, San Diego and I'm not sure, but that may have something to do with my coverage.
Hug
Elaine
A person's greatness is the power to stand alone;to be able to make her own choice; in action,to write anew her own law; to choose her own sacrifices; run her own dangers; win her own freedom; venture her own destruction; to choose her own happiness
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melliel
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- Joined: 3/1/2011
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Re:Medicare Coverage for Treatments - Chemo/Rads/Hormone
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Thursday, September 22, 2011 7:15 PM
Marian: I have Medicare Advantage insurance coverage,. All the bills are filed with the Advantage Insurance who works with Medicare to make the payments. So far this has worked pretty good for me but I can't tell you what the breakdown is by what portion was Medicare and what was the insurance company. I do pay the regular doctor co-pays, surgery co-pays and some on chemo. I don't know what I will have to pay on radiation since that has just been billed. So far, out of the total billed, incl rads is about $150,000 and I have paid almost $4,000 out of pocket. That is a lot but a lot less than I expected. This hasn't included prescription meds but that isn't a lot for my portion. I would strongly advise getting the additional insurance if you can afford it. There are a lot to choose from and some are the Medicare Advantage and some are Medicare supplemental and probably others too. I hope this helps some.
Mary
Diagnosed: 1/27/2011: Invasive Carcinoma of left breast er/pr +, her2 - Surgery 2/7/2011: Lumpectomy. Margins negative, 2 Lymph nodes negative. 1.8 cm stage 1A Oncotype Dx 34
Chemo:Taxotere & Cytoxan - done Rads - 30 treatments - done! Arimidex for 5 years Metformin/placebo trial - 5 years God never closes one door without opening another but sometimes it is hell in the hallway!
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