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Enbrel: A Pioneer in Autoimmune Treatment and Its Synergy with Medicare

HELPING YOU PUT TOGETHER YOUR MEDICARE PUZZLE

MBG IS AN INSURANCE BROKER AND IS NOT ASSOCIATED, ENDORSED, OR AUTHORIZED BY THE SOCIAL SECURITY ADMINISTRATION, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, OR THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS)

jim.neil@medicarebenefitsgroup.com734-657-4797

MEDICARE INSURANCE

MADE SIMPLE

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Introduction 🌈

Enbrel has been a significant player in the treatment of autoimmune disorders like rheumatoid arthritis and psoriasis. Its effectiveness has improved the quality of life for countless patients, but its cost raises questions about affordability. In this blog, we’ll explore how Medicare interacts with this crucial medication.

What is Enbrel? πŸ’Š

Enbrel (etanercept) is a biologic medication designed to modulate the immune system. By inhibiting the activity of a specific protein that triggers inflammation, it helps to control symptoms and slow disease progression in various autoimmune conditions.

The Financial Challenge πŸ’°

The medical benefits of Enbrel come with a price tag that can be a barrier for many. A typical month’s supply may cost around $4,000 to $5,000 without insurance, necessitating financial assistance for the majority of patients.

Enbrel and Medicare πŸ“˜

The uplifting news is that Medicare usually covers Enbrel, primarily through its Part D prescription drug program.

Medication Tiers πŸ“Š

Enbrel is often placed in a higher tier within Medicare Part D plans. Higher tier medications generally require higher co-payments, meaning you may face significant out-of-pocket expenses even with Medicare coverage.

Pre-Authorization and Limits ⚠️

Many Medicare plans require “prior authorization” for high-cost medications like Enbrel. Your healthcare provider will need to verify that the drug is essential for your condition. Step therapy or quantity limits may also apply.

Additional Financial Aid πŸ†˜

If Medicare’s coverage is not enough, you may qualify for other financial assistance programs. Companies like Amgen, the maker of Enbrel, offer support programs to help eligible patients with out-of-pocket costs.

Conclusion 🌟

Enbrel has revolutionized the treatment of autoimmune diseases, offering a new lease on life for many patients. While Medicare Part D plans usually cover Enbrel, you may still need to navigate pre-authorization requirements and cope with significant out-of-pocket expenses. Always check the specifics of your Medicare plan to understand your coverage fully.

As we journey through the complexities of healthcare, the alliance between Enbrel and Medicare serves as a critical reminder of the essential role of insurance in making life-changing treatments accessible. 🌟

MBG IS AN INSURANCE BROKER AND IS NOT ASSOCIATED, ENDORSED, OR AUTHORIZED BY THE SOCIAL SECURITY ADMINISTRATION, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, OR THE CENTER FOR MEDICARE AND MEDICAID 

SERVICES (CMS)

https://medicarebenefitsgroup.com/contact/

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What Our Customers Have To Say

Shecter Calendar
Shecter Calendar
2023-05-12
Very knowledgeable, friendly, easy to work with.
Cindy
Cindy
2023-05-11
Jim was a great resource who was recommend by my financial advisor. His explanations of the various options were straight forward and very informative. He asked me pertinent questions about my health in order to tailor a plan to best fit my needs.
beth swartz
beth swartz
2023-05-10
very knowledgable
Loventry Robinson
Loventry Robinson
2023-05-10
Jim is patient and very knowledgeable in his work. He helped me to get the Medicare advantage plan I wanted, and I am very satisfied.
Teresa Orr
Teresa Orr
2023-05-10
Jim was very helpful in explaining coverages and explaining the steps I needed to take to get Medicare. I highly recommend him. He is very knowledgeable on all aspects of care and made it easy for me to enroll in coverage.
Laurie Eisenbraun
Laurie Eisenbraun
2023-05-08
Jim was able to provide tailored Medical Gap policy solutions that fit my and my husbands individual needs. Jim is knowledgeable about all the potential policies that could work for us.
Denise Bensch
Denise Bensch
2023-05-04
I want to thank James Neil for making the Medicare Insurance sign up process so easy. He took what I thought would be a frustrating and confusing process, and made it a pleasure. He clearly explained our options and gave us information in an easy to understand manner. I will definitely recommend his services to friends and family.
Chris Bensch
Chris Bensch
2023-05-04
Mr. Neal is extremely knowledgeable & helpful. He did an excellent job of explaining how everything works and presented our options clearly. I'd strongly recommend anyone nearing retirement, considering a benefit change or simply looking for an overview of their options contact him.
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2023-05-01
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KATHY TROHA-AUSTIN
2023-04-24
These two (Jim and Jennifer) were awesome. Extremely knowledgable about the entire process. Would highly recommend them.