Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 Yes – The Medicare B supplement should pay the 20%. Janet M. Lovely Lankenau Hospital Phila., PA Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement. Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 From what I have seen that 20% is pt's responsibility. Mrs. Nury ino Financial Counselor, Transplant Program Tampa General Hospital Patient Accounts, 6th floor E. Pavillion (813)844-4665 office (813)844-8499 fax npaulino@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 This pt is telling me she has been paying $319.00 per mt. for her valcyte. She actually has Medicare A, B and Rx drug coverage through BCBS. So should BCBS pay for it and Medicare part B should have picked up the $319 Beverly From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Lovely, Janet M.Sent: Friday, April 27, 2007 7:50 AMTo: TxFinancialCoordinators Subject: RE: Innunes co-pay Yes – The Medicare B supplement should pay the 20%. Janet M. Lovely Lankenau Hospital Phila., PA -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Friday, April 27, 2007 8:42 AMTo: TxFinancialCoordinators Subject: Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement. Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 For the immunos, Medicare B would pay 80% and the pharmacy should balance will the 20% to the MediGap policy. For the Valcyte, the $320 will be her responsibility. Would she be financially eligible for assistance from Roche for the $320 (eligibility based on patient’s income & assets)? -- www.rxhope.com Daryl Battin, LICSW Financial Coordinator/Social Worker Lahey Clinic Kidney/Pancreas Program 41 Mall Road Burlington, MA 01805 PH: 781 744-7166/FAX: 781 744-5009 Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement. Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 It is my understanding that Valcyte is not considered an immunosuppressant and, therefore, not covered by Medicare B. It should be covered by her Medicare D – with a copay - unless she is in the donut hole (then she pays 100%). Janet M. Lovely Lankenau Hospital Phila., PA Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement. Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 Valcyte is not considered an immunosuppressant, her Med D copay is the the $319 Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 254/724-8448 >>> bantoi@... 4/27/2007 8:00 AM >>> This pt is telling me she has been paying $319.00 per mt. for her valcyte. She actually has Medicare A, B and Rx drug coverage through BCBS. So should BCBS pay for it and Medicare part B should have picked up the $319 Beverly ________________________________ From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Lovely, Janet M. Sent: Friday, April 27, 2007 7:50 AM To: TxFinancialCoordinators Subject: RE: Innunes co-pay Yes - The Medicare B supplement should pay the 20%. Janet M. Lovely Lankenau Hospital Phila., PA Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement. Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOI@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 They are not filing her supplement for the 20%.>>> "Antoine, Beverly A." 4/27/2007 9:00 am >>> This pt is telling me she has been paying $319.00 per mt. for her valcyte. She actually has Medicare A, B and Rx drug coverage through BCBS. So should BCBS pay for it and Medicare part B should have picked up the $319Beverly From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Lovely, Janet M.Sent: Friday, April 27, 2007 7:50 AMTo: TxFinancialCoordinators Subject: RE: Innunes co-payYes – The Medicare B supplement should pay the 20%. Janet M. LovelyLankenau HospitalPhila., PA -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Friday, April 27, 2007 8:42 AMTo: TxFinancialCoordinators Subject: Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement.Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 They are not filing her supplement for the 20%.>>> "Antoine, Beverly A." 4/27/2007 9:00 am >>> This pt is telling me she has been paying $319.00 per mt. for her valcyte. She actually has Medicare A, B and Rx drug coverage through BCBS. So should BCBS pay for it and Medicare part B should have picked up the $319Beverly From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Lovely, Janet M.Sent: Friday, April 27, 2007 7:50 AMTo: TxFinancialCoordinators Subject: RE: Innunes co-payYes – The Medicare B supplement should pay the 20%. Janet M. LovelyLankenau HospitalPhila., PA -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Friday, April 27, 2007 8:42 AMTo: TxFinancialCoordinators Subject: Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement.Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2007 Report Share Posted April 27, 2007 Valcyte is not a immunosuppressant and should fall under the D plan if it is covered on the level they selected.>>> "Lovely, Janet M." 4/27/2007 9:09 am >>>It is my understanding that Valcyte is not considered an immunosuppressant and, therefore, not covered by Medicare B. It should be covered by her Medicare D – with a copay - unless she is in the donut hole (then she pays 100%). Janet M. LovelyLankenau HospitalPhila., PA -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Friday, April 27, 2007 9:00 AMTo: TxFinancialCoordinators Subject: RE: Innunes co-pay This pt is telling me she has been paying $319.00 per mt. for her valcyte. She actually has Medicare A, B and Rx drug coverage through BCBS. So should BCBS pay for it and Medicare part B should have picked up the $319Beverly From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Lovely, Janet M.Sent: Friday, April 27, 2007 7:50 AMTo: TxFinancialCoordinators Subject: RE: Innunes co-payYes – The Medicare B supplement should pay the 20%. Janet M. LovelyLankenau HospitalPhila., PA -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Friday, April 27, 2007 8:42 AMTo: TxFinancialCoordinators Subject: Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement.Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2007 Report Share Posted April 30, 2007 Valcyte is covered under Part D and she needs to be sure her D covers this drug. Part B does not cover Valcyte.>>> "BEVERLY A LARSON" 4/27/2007 5:03 pm >>>They are not filing her supplement for the 20%.>>> "Antoine, Beverly A." 4/27/2007 9:00 am >>> This pt is telling me she has been paying $319.00 per mt. for her valcyte. She actually has Medicare A, B and Rx drug coverage through BCBS. So should BCBS pay for it and Medicare part B should have picked up the $319 Beverly From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Lovely, Janet M.Sent: Friday, April 27, 2007 7:50 AMTo: TxFinancialCoordinators Subject: RE: Innunes co-pay Yes – The Medicare B supplement should pay the 20%. Janet M. Lovely Lankenau Hospital Phila., PA -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Friday, April 27, 2007 8:42 AMTo: TxFinancialCoordinators Subject: Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement. Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2007 Report Share Posted April 30, 2007 Valcyte is covered under Part D and she needs to be sure her D covers this drug. Part B does not cover Valcyte.>>> "BEVERLY A LARSON" 4/27/2007 5:03 pm >>>They are not filing her supplement for the 20%.>>> "Antoine, Beverly A." 4/27/2007 9:00 am >>> This pt is telling me she has been paying $319.00 per mt. for her valcyte. She actually has Medicare A, B and Rx drug coverage through BCBS. So should BCBS pay for it and Medicare part B should have picked up the $319 Beverly From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Lovely, Janet M.Sent: Friday, April 27, 2007 7:50 AMTo: TxFinancialCoordinators Subject: RE: Innunes co-pay Yes – The Medicare B supplement should pay the 20%. Janet M. Lovely Lankenau Hospital Phila., PA -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Friday, April 27, 2007 8:42 AMTo: TxFinancialCoordinators Subject: Innunes co-pay Hello Question: If Medicare part B pays for the immunes will the supplement pick up the 20% are is that the pt responsibility. Pt. has Part A<B<D and a Medicare supplement. Her Valcyte through her part D, she will have to come up with $320.00 a month. Thanks BEVERLY ANTOINE, LPN-TFC LSUHSC-UMC LAFAYETTE, LA. BANTOILSUHSC (DOT) EDU Quote Link to comment Share on other sites More sharing options...
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