I switched from private insure to Medicare last month. The Labcorp technician indicated that several of my monthly or quarterly blood draws are not covered under Medicare (eg DHT and A1C) Could someone provide guidance on this issue? Any similar experiences? Thanks
DHT, A1C covered under Medicare? - Advanced Prostate...
DHT, A1C covered under Medicare?
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I've had many routine blood draws including DHT, T, PSA, Estradiol, etc., all covered by medicare. Sometimes the doctors' office has to get creative how they submit the data to medicare.
jal
Do they just have to say it is medically necessary or is there more to it?
Running into same thing with VA. Newer drugs like my Xtandi (enzalutamide) aren't available through them, and the $12,000/month makes it a little high.
Doug
Are you still having problems getting Xtandi through the VA?
Are you saying they will pay for it even if Medicare does not cover it?
Yes. I spoke with Medicare yesterday and they said doctor had to write a letter of Medical Necessity. Go figure.
I've been on medicare 13 yrs & it's been that long since I had radiation for PC. I get a blood test every 3 months & was always told that was what medicare would pay for. By the way, PSA was 105 before radiation, dropped to 3 or less till last yr when it went back to 20. I'm on xtandi now & it's below 1. My doctor got me on a program so I get it free.
Do you have a PCa code?
You must have a DX and a code otherwise you wont be covered.
I never pay out of pocket for lab work and I have extensive bloodwork and testing.
Sounds like a miracle I know but I have paid for expensive meds rarely.I have AARP supplement plan N but he never charges me even though I offer to pay him by check.
He accepts whatever Medicare gives him. Other docs are out to get every dime they can and they need a good beating!!!!! They should give you a pass the crooks.
He never puts a claim to AARP as well.
he made me pay for procrit and zometa