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Does Anyone Have A Medicare Advantage Plan That Covers The Cost Of A Biologic? (Tremfya, Stelara)

A MyPsoriasisTeam Member asked a question 💭
Hampden, MA
June 14, 2024
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A MyPsoriasisTeam Member

To determine if a Medicare Advantage plan covers the cost of biologics like Tremfya or Stelara, consider the following steps:

1. Consult Medicare.gov: Check the specific coverage details for Medicare Advantage plans on the official Medicare website
2. Ask Your Dermatologist: Inquire if they have a biologics coordinator Show Full Answer

To determine if a Medicare Advantage plan covers the cost of biologics like Tremfya or Stelara, consider the following steps:

1. Consult Medicare.gov: Check the specific coverage details for Medicare Advantage plans on the official Medicare website.
2. Ask Your Dermatologist: Inquire if they have a biologics coordinator who can help navigate insurance coverage.
3. Secondary Insurance: Consider enrolling in a secondary insurance plan to cover additional costs if Medicare does not fully cover the biologic treatment.
4. Drug Manufacturer Assistance: Look into financial assistance programs offered by the biologic manufacturers.

For more detailed information, you may need to contact your insurance provider directly.

June 14, 2024

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