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What Medications Are Covered Under Part B?

what-meds-are-covered-part-b
05/20/2021
  • Medicare with Melissa

What Medications are covered under Part B?

Certain types of medications fall under Medicare Part B instead of Part D. If you have original Medicare with a traditional supplement, these medications will generally be fully covered.  If you have opted for a Medicare Advantage plan, you will pay the plan’s coinsurance as outlined in their benefit summary.  With many Medicare Advantage plans, this might be a 20% cost-share for you, but your Part B spending will count toward your plan’s out-of-pocket maximum.

The primary categories of prescriptions that sometimes fall under Part B are:

  • Drugs provided in a physician’s office, such as chemotherapy medications
  • Medications administered via durable medical equipment, such as nebulizers or internal or external pumps
  • Immunosuppressive meds – commonly given after an organ transplant
  • Some oral cancer or related anti-nausea medications that you administer to yourself
  • Some medications that treat End-Stage Renal Failure – an example would be Erythropoietin
  • Drugs delivered in a hospital outpatient care situation
  • Vaccines ordered by a physician, such as pneumonia or hepatitis vaccines
  • Blood clotting factors
  • Diabetes supplies – lancets, test strips, glucose monitors

Learn More: Are Vaccines Covered by Medicare Part D?

People Also Read: What is Extra Help?

Meet Melissa MacCalla

Medicare is not simple and can be hard, frustrating, and downright confusing for most. I love when I get someone on the phone and I am given the opportunity to explain the difference in plans to them and have Medicare make sense. I enjoy talking to clients year after year, hearing about their families growing or them asking about mine.

-Melissa

Oh my gosh!! I was so confused about the Medicare Supplement process. I am turning 65 soon and am retired and have always had insurance thru my former employer. I didn’t know a thing about going on Medicare and was struggling to sort it all out.

A friend of mine recommended contacting Senior HealthCare Solutions, so I did. Melissa was FANTASTIC!! She was professional, responsive, caring and friendly. She explained the steps I needed to take, gathered my information, helped me choose good plans for MY specific needs and took care of my applications over the phone. 1-2-3, eesy-peesy and I was done!! And it didn’t cost me a DIME!!! WOW!!! I HIGHLY recommend Senior Healthcare Solutions for anyone who’s overwhelmed with making the right choices with Medicare Supplemental Insurance and Rx coverage. It’ll take a load off your mind!

Janice W.

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