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Eylea: A Revolution in Eye Care and Its Affinity 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

https://medicarebenefitsgroup.com/contact/

Introduction 🌈

In the field of ophthalmology, Eylea has emerged as a critical treatment for conditions like age-related macular degeneration (AMD) and diabetic macular edema (DME). The medication promises improved vision and quality of life, but many are concerned about its affordability. In this blog, we’ll dissect the relationship between Eylea and Medicare.

What is Eylea? πŸ‘οΈ

Eylea (aflibercept) is an injectable medication that helps to slow vision loss and improve eye health in people with certain retinal diseases. By blocking the action of specific growth factors, Eylea reduces abnormal blood vessel growth and leakage in the eye, common issues in conditions like AMD and DME.

The Cost Implication πŸ’΅

While Eylea offers remarkable benefits, it comes at a considerable price. Each injection can cost upwards of $1,850, making insurance coverage almost a necessity for patients in need of regular treatment.

Eylea and Medicare πŸ“œ

The silver lining is that Medicare does generally cover Eylea, primarily through Medicare Part B, which handles outpatient services, including some medications administered by healthcare providers.

Coverage Specifics πŸ“˜

Medicare Part B usually covers 80% of the medication’s cost after you meet your annual deductible. This leaves the remaining 20% as your responsibility, which can still amount to a considerable sum given the high cost of Eylea injections.

Supplementary Plans βš™οΈ

To offset the 20% you’re responsible for, you can opt for a Medigap or Medicare Advantage Plan that covers outpatient medical services. These plans can significantly reduce your out-of-pocket costs.

Prior Authorization and Restrictions ⚠️

Even with Medicare coverage, some restrictions may apply, such as the need for prior authorization. Always consult your healthcare provider and Medicare plan for details.

Conclusion 🌟

Eylea has significantly advanced the treatment of retinal diseases, offering hope and improved vision to countless patients. While Medicare typically covers a portion of Eylea’s cost, it’s essential to understand the specifics of your plan to fully grasp your financial responsibility.

The relationship between Eylea and Medicare exemplifies the vital role of healthcare coverage in making groundbreaking treatments accessible to the masses. 🌟

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.
Patrick Lennane
Patrick Lennane
2023-05-01
Awesome experience, explained all options clearly and made it easy to make a healthcare decision. Highly recommend!
KATHY TROHA-AUSTIN
KATHY TROHA-AUSTIN
2023-04-24
These two (Jim and Jennifer) were awesome. Extremely knowledgable about the entire process. Would highly recommend them.