Re: Medicare Prescriptions

[Guest guest]

,

It seems to matter not just who your insurer is , but whether your doctor

will go to bat for you about letting you do the shots at home. Mine is blue

cross of MA and with my doctor's approval, they've been letting me do it at

home.

Meryl

I've been on Xolair five months now and it has revolutionized my life. I've

dropped six prescriptions and feel better than any time in the last six

years. I receive my injections at Yale New Haven Hospital every two weeks and

they

are fully covered by Medicare and AARP Medicare supplement as long as I get

them at the hospital. Un fortunately it is a 45 Minute drive and I have to

miss several hours at my office and deal with snow traffic etc. I would

prefer to give my own injections and it is time to select an insurance company

under the new medicare prescription plan. Do any of you have suggestions as

to which of the many company's that cover xolair is the easiest to deal with

.. Thanks,

__________________________________________________

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[Guest guest]

- thank you for sharing your great news with the group! That

is terrific.

I have had two versions of Blue Cross in NC, both of which have

covered my Xolair scrip either in full or about 95%. I am now

getting it to my home. Ask your human resources person if you can

speak directly with the reps of the potential health insurance

companies, or contact your specialty pharmacy and see if they can

tell you.

Addy

>

> I've been on Xolair five months now and it has revolutionized my

life. I've dropped six prescriptions and feel better than any time in

the last six years. I receive my injections at Yale New Haven

Hospital every two weeks and they are fully covered by Medicare and

AARP Medicare supplement as long as I get them at the hospital. Un

fortunately it is a 45 Minute drive and I have to miss several hours

at my office and deal with snow traffic etc. I would prefer to give

my own injections and it is time to select an insurance company under

the new medicare prescription plan. Do any of you have suggestions

as to which of the many company's that cover xolair is the easiest

to deal with . Thanks,

> __________________________________________________

>

[Guest guest]

The decision to inject yourself at home is probably up to your doctor, not your

insurance company. I asked my doctor if I could inject myself and he said his

malpractice insurance wouldn't allow it. Fortunately, I only have a 15 min

drive and it's actually nice for me to get out of the office/house once in a

while so I really don't mind. If I could inject myself at home I would though.

msbehavior@... wrote:

,

It seems to matter not just who your insurer is , but whether your doctor

will go to bat for you about letting you do the shots at home. Mine is blue

cross of MA and with my doctor's approval, they've been letting me do it at

home.

Meryl

I've been on Xolair five months now and it has revolutionized my life. I've

dropped six prescriptions and feel better than any time in the last six

years. I receive my injections at Yale New Haven Hospital every two weeks and

they

are fully covered by Medicare and AARP Medicare supplement as long as I get

them at the hospital. Un fortunately it is a 45 Minute drive and I have to

miss several hours at my office and deal with snow traffic etc. I would

prefer to give my own injections and it is time to select an insurance company

under the new medicare prescription plan. Do any of you have suggestions as

to which of the many company's that cover xolair is the easiest to deal with

.. Thanks,

__________________________________________________

Do You ?

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[Guest guest]

I am on Medicare for disability and have a very good Medicare Part D

prescription plan with United through AARP. I don't belong to AARP,

just chose this prescription plan. However, Xolair is not covered

under Part D because its now covered under Medicare Part B at 100% of

the cost when my doctor buys the Xolair and gives the injection in

his office. I don't pay anything for the Xolair itself except $20 to

my doctor to cover the amount he pays to buy the Xolair but is not

reimbursed by Medicare. It's incredible and I'm so grateful to have

such excellent coverage for the Xolair.

Fran

>

> I've been on Xolair five months now and it has revolutionized my

life. I've dropped six prescriptions and feel better than any time in

the last six years. I receive my injections at Yale New Haven

Hospital every two weeks and they are fully covered by Medicare and

AARP Medicare supplement as long as I get them at the hospital. Un

fortunately it is a 45 Minute drive and I have to miss several hours

at my office and deal with snow traffic etc. I would prefer to give

my own injections and it is time to select an insurance company under

the new medicare prescription plan. Do any of you have suggestions

as to which of the many company's that cover xolair is the easiest

to deal with . Thanks,

> __________________________________________________

>

[Guest guest]

Hi, I posted about medicare/aarp rx awhile ago and got sidetracked...

your response has caught my attention. I've been having second

thoughts about doing the xolair because of the out of pocket expense

and percentage for the aarp catastrophic coverage. Your saying that

it's now covered under Medicare Part B (is that the same as my duo-neb

being covered under durable medical equipment?). How do I find out

for sure? Where do I call for information? This may be the solution I

was looking for.

> >

> > I've been on Xolair five months now and it has revolutionized my

> life. I've dropped six prescriptions and feel better than any time in

> the last six years. I receive my injections at Yale New Haven

> Hospital every two weeks and they are fully covered by Medicare and

> AARP Medicare supplement as long as I get them at the hospital. Un

> fortunately it is a 45 Minute drive and I have to miss several hours

> at my office and deal with snow traffic etc. I would prefer to give

> my own injections and it is time to select an insurance company under

> the new medicare prescription plan. Do any of you have suggestions

> as to which of the many company's that cover xolair is the easiest

> to deal with . Thanks,

> > __________________________________________________

> >

[Guest guest]

You can call Medicare for confirmation. Also, your allergist's and

pulmonologist's offices can confirm it for you. I'm on straight

Medicare (no supplement) and Xolair is covered by my Medicare Part B

with a 20% copay. Best of luck - hope this will work out for you.

Fran

> > >

> > > I've been on Xolair five months now and it has revolutionized

my

> > life. I've dropped six prescriptions and feel better than any

time in

> > the last six years. I receive my injections at Yale New Haven

> > Hospital every two weeks and they are fully covered by Medicare

and

> > AARP Medicare supplement as long as I get them at the hospital.

Un

> > fortunately it is a 45 Minute drive and I have to miss several

hours

> > at my office and deal with snow traffic etc. I would prefer to

give

> > my own injections and it is time to select an insurance company

under

> > the new medicare prescription plan. Do any of you have

suggestions

> > as to which of the many company's that cover xolair is the

easiest

> > to deal with . Thanks,

> > > __________________________________________________

> > >

[Guest guest]

Hi Joy:

Yes, it's the durable medical equipment part of the Medicare. Call them at

the 800 Number.

Kathy

JoyCarol and <jclutterbuster@...> wrote:

Hi, I posted about medicare/aarp rx awhile ago and got sidetracked...

your response has caught my attention. I've been having second

thoughts about doing the xolair because of the out of pocket expense

and percentage for the aarp catastrophic coverage. Your saying that

it's now covered under Medicare Part B (is that the same as my duo-neb

being covered under durable medical equipment?). How do I find out

for sure? Where do I call for information? This may be the solution I

was looking for.

> >

> > I've been on Xolair five months now and it has revolutionized my

> life. I've dropped six prescriptions and feel better than any time in

> the last six years. I receive my injections at Yale New Haven

> Hospital every two weeks and they are fully covered by Medicare and

> AARP Medicare supplement as long as I get them at the hospital. Un

> fortunately it is a 45 Minute drive and I have to miss several hours

> at my office and deal with snow traffic etc. I would prefer to give

> my own injections and it is time to select an insurance company under

> the new medicare prescription plan. Do any of you have suggestions

> as to which of the many company's that cover xolair is the easiest

> to deal with . Thanks,

> > __________________________________________________

> >

[Guest guest]

My Medicare billings for Xolair are categorized as chemotherapy, not

durable medical equipment.

Fran

> > >

> > > I've been on Xolair five months now and it has revolutionized

my

> > life. I've dropped six prescriptions and feel better than any

time in

> > the last six years. I receive my injections at Yale New Haven

> > Hospital every two weeks and they are fully covered by Medicare

and

> > AARP Medicare supplement as long as I get them at the hospital.

Un

> > fortunately it is a 45 Minute drive and I have to miss several

hours

> > at my office and deal with snow traffic etc. I would prefer to

give

> > my own injections and it is time to select an insurance company

under

> > the new medicare prescription plan. Do any of you have

suggestions

> > as to which of the many company's that cover xolair is the

easiest

> > to deal with . Thanks,

> > > __________________________________________________

> > >