Medicare Lupron authorization

[Still_in_shock]

Im going to be on Medicare 01 Jan 2025.

My Lupron shot is due 17 Jan 2025

Earliest appointment is 15 Jan 2025 at UCLA

Will my new Onc be able to give me a Lupron shot on the 15th, or will I need Medicare preauth??

[fireandice123]

The hospital I use gets any needed authorizations in advance of my appointment so I get whatever treatment was planned the day of my appointment.

[MJCA]

Hi,

I’m in the same boat as you; I start Medicare January 1. Since Lupron is administered by an RN in a medical facility, this is covered under part B. I know Part B has a deductible, just don’t know it off the top of my head.

[Still_in_shock in reply to MJCA]

$240 deductible. I also have a Plan G which will pay the 20% copay after deductible met.

But its the pre auth that worries me.

Im only on Lupron, cant chance going without after the 6 month.

[MJCA in reply to Still_in_shock]

Since you said plan G, I am assuming you have a supplement and not an Advantage plan. Two things I would recommend:

1. Contact the Finance Office at UCLA, they should be able to help.

2. If you purchased your plan from an agent, call that individual - that’s they are there for.

[Still_in_shock in reply to MJCA]

Im asking if a pre-authorization by the Doctor will be needed from Medicare, even though Ive been on Lupron the last 2 1/2 years.

Some things need preauthorization from Medicare.

I dont need any help with ny plan!! Yes Plan G IS a supplement.