Ocrevus & Medicare

[mrsmike]

I'm sure this has already been asked but here goes. Does Medicare cover ocrevus infusions when done at an infusion center? Thanks in advance.

[Tazmanian]

I don't know , but good luck

[mrsmike in reply to Tazmanian]

Thanks!

[Allen5280]

It did for me but I'm also fiscally challenged so I get extra help which in my state is Medicaid. I've seen that Medicaid is picking up about 8K and I'm not sure what all that entails. My last infusion which was before assisted living was here at home which was so much better.

[mrsmike in reply to Allen5280]

Thanks. I've been on the phone for hours with Medicare and they won't give me a definitive yes or no. Such nonsense!

[jimeka in reply to mrsmike]

I hope that you get sorted soon 🤗

[mrsmike in reply to jimeka]

Thanks. Me too!

[pamgarner]

call the facility and ask if they take medicare or if you have other insurance,make sure you ask for billing to ask that question,again,patient heal thyself.it is enough to drive you crazy

[mrsmike in reply to pamgarner]

Did that and they replied with a probably, but check with Medicare. Just a viscous cycle.

[pamgarner in reply to mrsmike]

do you feel like a cat chasing your tail?it will make you uurrggggh!

[mrsmike in reply to pamgarner]

Absolutely!

[Violonchelo]

I have MS since 1999. I have Rebif.

3 times a week.

I read many trataments , but I have the mine since 2005.

Ocrevus for me is a misterious thing as other trataments.

I hope in the future MS had only a pill for all , as well coranovirus only a pill soon. I hope one day.

[bavery207]

mrsmike I have medicare with anthem as my secondary and all ocrevus costs are covered for me!

[mrsmike in reply to bavery207]

Thanks! I have Medicare with AARP

[Kitsey]

I have Medicare and a supplemental plan. While I use Rituxan, it’s covered in full. I too go to an infusion center. Prior to Medicare it wasn’t covered by my insurance. The infusion center may be able to help with your question. I hope you get the answers you need and that Ocrevus works well for you.

[mrsmike in reply to Kitsey]

Thanks

[JTZES]

I'm not sure about Medicare but my insurance company will not cover it at a hospital based infusion center.

This was based on how the hospital mixed the medication 💊. The hospital based centers mix the steriod with the Ocrevus making it a compound med which they can charge upwards to an extra 40 thousand for.

I did have an issue finding an infusion center that was approved to give me the infusion.

Good luck with your infusions going forward.

[JTZES]

I can't believe that I didn't think about this in my previous post. Contact the manufacturer of Ocrevus and apply for financial aid if you haven't already. They cover what my insurance doesn't.

[mrsmike in reply to JTZES]

Thank you

[1575]

The medication is covered under Medicare Part B which covers 80% counting if you have a Medicare Advantage or Suppliment Plan the infusion will be either 0 or whatever copay amount the the Advantage plan allows. Hope this helps. Peter

[mrsmike in reply to 1575]

Thanks! It does.

[rjoneslaw]

yes they do.

If you have any problems you should contact your patient navigator at O.They help with everything associated with the drug

[twooldcrows]

mine is covered but i also have va threw my husband...

[joaneybaloney]

Who is your provider for the infusion? They should definitely know. Mine handled all of that with my employer-based insurance, but should it be any different with Medicare? Also, the people who work for Ocrevus (really, Genentech) have been really great with talking to me about copay help. Maybe they could help you with this too? If you haven't, start by going on their website.

[Juliew19673]

I think the wonderful people at Ocrevus, would know the answer. Best of luck!