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Treatments covered by Medicare or Medicare Supplement plan

Tue, November 14, 2023 9:55 AM

Hello all,

Just curious what medications people are using in retirement while on Medicare. I’m a UC patient since 1987 and am currently managing well with Azulfadine and Entyvio infiusions (every 6 weeks). I’m closing in on retirement and have signed up for Medicare, but still using my employers BCBS.

I’m seeing the out of pocket costs for these biological through Medicare and they aren’t going to be affordable for me. Anyone else find the same?

TIA

mterrian
Joined Nov 21, 2022

Fri, August 08, 2025 1:43 AM

Reply posted for mterrian.

Thank you! papa's scooperia

Archibald
Joined Jan 9, 2025

Fri, August 08, 2025 1:40 AM

Reply posted for Archibald.

Many retirees on Medicare do face challenges with the out-of-pocket costs for biologics like Azulfidine and Entyvio. Some have found that Medicare Part D plans can help reduce these costs, but it's essential to compare different plans to find one that covers your medications effectively.

Archibald
Joined Jan 9, 2025

Thu, March 20, 2025 9:13 PM

Reply posted for mterrian.

I understand your concerns about medication costs on Medicare. Many face similar challenges with biologics. Have you considered discussing alternatives with your doctor or exploring supplemental plans for better coverage?
Traffic Rally

molisa
Joined Mar 20, 2025

Thu, April 04, 2024 5:03 AM

Reply posted for aturedeter.

If anyone is having the same problem as me, you can safely use this method and don't worry
cluster rush

aturedeter
Joined Apr 4, 2024

Thu, April 04, 2024 5:01 AM

Reply posted for Delberenson.

I have also used Azulfadine infusion and luckily my body took it very well. Symptoms have decreased significantly since use.

aturedeter
Joined Apr 4, 2024

Tue, April 02, 2024 4:48 AM

Reply posted for Delberenson.

I'm considering retiring this summer, and I learned at my infusion clinic that biologics are covered by Medicare if taken according to the prescribed schedule and administered at an approved facility. As an example, my insurance company will only cover my Entyvio prescription every eight weeks.
geometry dash lite

Delberenson
Joined Apr 2, 2024

Wed, February 21, 2024 11:29 AM

Reply posted for mterrian.

I'm looking at retiring this summer and from what I heard at my infusion center is that Medicare is good at paying for biologics as long as you are on the recommended schedule and it is done at a hospital or infusion center. For instance I am on Entyvio and they will only pay for every 8 weeks.

Deb76
Joined Feb 21, 2024

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