Anyone have Tricare and Medicare

A

Asexyblond23

New member
Ok so if you haev tricare you know that things are covered 100%. Well when they gave me medicare with my SSD that moved me to tricare for life and they only pay 80% of home infusion. Im freaking out!!! They came to drop off my meds last night and wanted me to sign a paper that said we the patient would pay 25% I was like hell no Im not signing that I have never had a co pay before and Im sure as not letting you make me have one now. well I need my iv's just got the port yesterday and now they are saying well I dont knwo why in aug and dec you got billed with no patient resp. but it says in the rules that its 80% and 20% and medicare doesnt pay for home invsion so you have to pay. I was like WTF are you serious, outta the blue we are going to have to pay like $3000 I dont have that. So Im trying to see if anyone else has tricare nad medicare which switchs you from tricare prime or standard to tricare for life. Im really heated!!!
 
A

Asexyblond23

New member
Ok so if you haev tricare you know that things are covered 100%. Well when they gave me medicare with my SSD that moved me to tricare for life and they only pay 80% of home infusion. Im freaking out!!! They came to drop off my meds last night and wanted me to sign a paper that said we the patient would pay 25% I was like hell no Im not signing that I have never had a co pay before and Im sure as not letting you make me have one now. well I need my iv's just got the port yesterday and now they are saying well I dont knwo why in aug and dec you got billed with no patient resp. but it says in the rules that its 80% and 20% and medicare doesnt pay for home invsion so you have to pay. I was like WTF are you serious, outta the blue we are going to have to pay like $3000 I dont have that. So Im trying to see if anyone else has tricare nad medicare which switchs you from tricare prime or standard to tricare for life. Im really heated!!!
 
A

Asexyblond23

New member
Ok so if you haev tricare you know that things are covered 100%. Well when they gave me medicare with my SSD that moved me to tricare for life and they only pay 80% of home infusion. Im freaking out!!! They came to drop off my meds last night and wanted me to sign a paper that said we the patient would pay 25% I was like hell no Im not signing that I have never had a co pay before and Im sure as not letting you make me have one now. well I need my iv's just got the port yesterday and now they are saying well I dont knwo why in aug and dec you got billed with no patient resp. but it says in the rules that its 80% and 20% and medicare doesnt pay for home invsion so you have to pay. I was like WTF are you serious, outta the blue we are going to have to pay like $3000 I dont have that. So Im trying to see if anyone else has tricare nad medicare which switchs you from tricare prime or standard to tricare for life. Im really heated!!!
 
A

Asexyblond23

New member
Ok so if you haev tricare you know that things are covered 100%. Well when they gave me medicare with my SSD that moved me to tricare for life and they only pay 80% of home infusion. Im freaking out!!! They came to drop off my meds last night and wanted me to sign a paper that said we the patient would pay 25% I was like hell no Im not signing that I have never had a co pay before and Im sure as not letting you make me have one now. well I need my iv's just got the port yesterday and now they are saying well I dont knwo why in aug and dec you got billed with no patient resp. but it says in the rules that its 80% and 20% and medicare doesnt pay for home invsion so you have to pay. I was like WTF are you serious, outta the blue we are going to have to pay like $3000 I dont have that. So Im trying to see if anyone else has tricare nad medicare which switchs you from tricare prime or standard to tricare for life. Im really heated!!!
 
A

Asexyblond23

New member
Ok so if you haev tricare you know that things are covered 100%. Well when they gave me medicare with my SSD that moved me to tricare for life and they only pay 80% of home infusion. Im freaking out!!! They came to drop off my meds last night and wanted me to sign a paper that said we the patient would pay 25% I was like hell no Im not signing that I have never had a co pay before and Im sure as not letting you make me have one now. well I need my iv's just got the port yesterday and now they are saying well I dont knwo why in aug and dec you got billed with no patient resp. but it says in the rules that its 80% and 20% and medicare doesnt pay for home invsion so you have to pay. I was like WTF are you serious, outta the blue we are going to have to pay like $3000 I dont have that. So Im trying to see if anyone else has tricare nad medicare which switchs you from tricare prime or standard to tricare for life. Im really heated!!!
 
A

Asexyblond23

New member
I wanted to say that I am very greatful for my 80% 20% insurace I know that alot of people dont even have that I didnt mean to sound ungreatful and I am sorry if I came off that way. I am just freaking out that out fo the blue we are haveing to come up with $3000 with no warning, and now its all changin and noone told us. Im just a little upset about that and worried b/c if we had know we would have been able to start saving for iv's and not get hit in the face out fo the blue.
 
A

Asexyblond23

New member
I wanted to say that I am very greatful for my 80% 20% insurace I know that alot of people dont even have that I didnt mean to sound ungreatful and I am sorry if I came off that way. I am just freaking out that out fo the blue we are haveing to come up with $3000 with no warning, and now its all changin and noone told us. Im just a little upset about that and worried b/c if we had know we would have been able to start saving for iv's and not get hit in the face out fo the blue.
 
A

Asexyblond23

New member
I wanted to say that I am very greatful for my 80% 20% insurace I know that alot of people dont even have that I didnt mean to sound ungreatful and I am sorry if I came off that way. I am just freaking out that out fo the blue we are haveing to come up with $3000 with no warning, and now its all changin and noone told us. Im just a little upset about that and worried b/c if we had know we would have been able to start saving for iv's and not get hit in the face out fo the blue.
 
A

Asexyblond23

New member
I wanted to say that I am very greatful for my 80% 20% insurace I know that alot of people dont even have that I didnt mean to sound ungreatful and I am sorry if I came off that way. I am just freaking out that out fo the blue we are haveing to come up with $3000 with no warning, and now its all changin and noone told us. Im just a little upset about that and worried b/c if we had know we would have been able to start saving for iv's and not get hit in the face out fo the blue.
 
A

Asexyblond23

New member
I wanted to say that I am very greatful for my 80% 20% insurace I know that alot of people dont even have that I didnt mean to sound ungreatful and I am sorry if I came off that way. I am just freaking out that out fo the blue we are haveing to come up with $3000 with no warning, and now its all changin and noone told us. Im just a little upset about that and worried b/c if we had know we would have been able to start saving for iv's and not get hit in the face out fo the blue.
 
J

JazzysMom

New member
Medicare does NOT pay home HOME infusion....

Anyone with just Medicare coverage must go into the hospital for their IV treatment. SUCKS & IS STUPID, but as of right now that is true.

As to what happens with another insurance? I believe if Medicare is primary & denies it that the 2nd insurance will also refuse it because its not a covered service for Medicare.....
 
J

JazzysMom

New member
Medicare does NOT pay home HOME infusion....

Anyone with just Medicare coverage must go into the hospital for their IV treatment. SUCKS & IS STUPID, but as of right now that is true.

As to what happens with another insurance? I believe if Medicare is primary & denies it that the 2nd insurance will also refuse it because its not a covered service for Medicare.....
 
J

JazzysMom

New member
Medicare does NOT pay home HOME infusion....

Anyone with just Medicare coverage must go into the hospital for their IV treatment. SUCKS & IS STUPID, but as of right now that is true.

As to what happens with another insurance? I believe if Medicare is primary & denies it that the 2nd insurance will also refuse it because its not a covered service for Medicare.....
 
J

JazzysMom

New member
Medicare does NOT pay home HOME infusion....

Anyone with just Medicare coverage must go into the hospital for their IV treatment. SUCKS & IS STUPID, but as of right now that is true.

As to what happens with another insurance? I believe if Medicare is primary & denies it that the 2nd insurance will also refuse it because its not a covered service for Medicare.....
 
J

JazzysMom

New member
Medicare does NOT pay home HOME infusion....
<br />
<br />Anyone with just Medicare coverage must go into the hospital for their IV treatment. SUCKS & IS STUPID, but as of right now that is true.
<br />
<br />As to what happens with another insurance? I believe if Medicare is primary & denies it that the 2nd insurance will also refuse it because its not a covered service for Medicare.....
<br />
<br />
 
L

LGMClark

New member
This is very interesting...I just hit my cap of $3000...(that's 1 order of pulmozyme mind you)...and now I have to pay. My insurance is through my work (im a teacher) BCBS...and now I am looking into getting medicare...only problem is that I work full time make a decent salary.

Any idea for what I should do...I've already paid $5000 out of pocket for Tobi and Pancrease ect....?

Isn't there something likeMedicare Plan B or D??

Any advice would be appreciated! :)
 
L

LGMClark

New member
This is very interesting...I just hit my cap of $3000...(that's 1 order of pulmozyme mind you)...and now I have to pay. My insurance is through my work (im a teacher) BCBS...and now I am looking into getting medicare...only problem is that I work full time make a decent salary.

Any idea for what I should do...I've already paid $5000 out of pocket for Tobi and Pancrease ect....?

Isn't there something likeMedicare Plan B or D??

Any advice would be appreciated! :)
 
L

LGMClark

New member
This is very interesting...I just hit my cap of $3000...(that's 1 order of pulmozyme mind you)...and now I have to pay. My insurance is through my work (im a teacher) BCBS...and now I am looking into getting medicare...only problem is that I work full time make a decent salary.

Any idea for what I should do...I've already paid $5000 out of pocket for Tobi and Pancrease ect....?

Isn't there something likeMedicare Plan B or D??

Any advice would be appreciated! :)
 
L

LGMClark

New member
This is very interesting...I just hit my cap of $3000...(that's 1 order of pulmozyme mind you)...and now I have to pay. My insurance is through my work (im a teacher) BCBS...and now I am looking into getting medicare...only problem is that I work full time make a decent salary.

Any idea for what I should do...I've already paid $5000 out of pocket for Tobi and Pancrease ect....?

Isn't there something likeMedicare Plan B or D??

Any advice would be appreciated! :)
 
L

LGMClark

New member
This is very interesting...I just hit my cap of $3000...(that's 1 order of pulmozyme mind you)...and now I have to pay. My insurance is through my work (im a teacher) BCBS...and now I am looking into getting medicare...only problem is that I work full time make a decent salary.
<br />
<br />Any idea for what I should do...I've already paid $5000 out of pocket for Tobi and Pancrease ect....?
<br />
<br />Isn't there something likeMedicare Plan B or D??
<br />
<br />Any advice would be appreciated! :)
 
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