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Ocrevus: A Breakthrough in MS Treatment and Its Alignment with Medicare

Experienced Medicare Broker Consulting with Client in Michigan

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 🌈

Ocrevus has become a pivotal medication in the battle against multiple sclerosis (MS), particularly in its progressive forms. But as with many cutting-edge treatments, the cost can be daunting. In this blog post, we’ll dive into how Medicare helps bridge the gap between medical need and affordability for this breakthrough drug.

What is Ocrevus? 💊

Ocrevus (ocrelizumab) is an intravenous medication that has shown promise in treating both relapsing and progressive forms of MS. It works by targeting and depleting specific B cells, which are believed to play a role in the abnormal immune response in MS.

Cost Implications 💵

The financial burden of Ocrevus can be significant. A single infusion can cost upwards of $30,000, making Medicare’s role pivotal for those needing this medication.

Ocrevus and Medicare 📘

Most commonly, Ocrevus is covered under Medicare Part B, as it is administered in a healthcare setting, like a hospital outpatient department or a doctor’s office.

Coverage Details 📊

Under Medicare Part B, you usually pay 20% of the Medicare-approved amount for the drug, and the Part B deductible applies. The cost can still be substantial but is generally more manageable than paying entirely out-of-pocket.

Prior Authorization and Limitations ⚠️

Medicare may require “prior authorization” for Ocrevus, which means that your healthcare provider must confirm the drug is medically necessary for your condition.

Extra Coverage 🛡️

If you find that the 20% coinsurance under Medicare Part B is still burdensome, you might consider a Medigap policy to help cover these additional costs.

Conclusion 🌟

Ocrevus stands as a landmark achievement in MS treatment, providing hope for those dealing with this often debilitating condition. While the medication is pricey, Medicare—particularly Part B—does offer some relief by covering a portion of the costs.

The symbiosis between Ocrevus and Medicare highlights the vital role of healthcare coverage in ensuring that innovative, life-altering treatments can reach the people who need them most. 🌟

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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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.
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beth swartz
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very knowledgable
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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.
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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.
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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.
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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.
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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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2023-04-24
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