Remicade Part B or Part D

Oct 24, 2016

  1. steveadlman
    Offline

    steveadlman Guru

    Posts:
    405
    Likes Received:
    7
    State:
    Alabama
    I have a client that has been diagnosed with Crohn's Disease. His doctor wants to prescribe Remicade to be given as an infusion therapy at a outpatient facility. Looking at Remicade's website it appears to me that the infusion treatment should be covered under Part B not Part D. My client called Medicare and they told him it would only be covered under Part D which would make it a Tier 5 medication. Does anyone have any experience with this issue, will it be covered under Part B or D?
     
  2. G.Gordon
    Offline

    G.Gordon Guru

    Posts:
    3,182
    Likes Received:
    4
    State:
    Missouri
    Part B. Infused, administered by a doctor, etc. all are part B.
     
    G.Gordon, Oct 24, 2016
    #2
  3. kgmom219
    Offline

    kgmom219 What's Next?

    Posts:
    5,416
    Likes Received:
    489
    State:
    Texas
    I just went through this a month ago. The website is misleading (and I think on purpose).

    Its B. Tell the client to contact the provider to get details.
     
    kgmom219, Oct 24, 2016
    #3
Loading...