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Remicade: Transforming Autoimmune Care and Its Interplay 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 🌈

When it comes to treating autoimmune conditions like rheumatoid arthritis and Crohn’s disease, Remicade has become a household name. As a biologic therapy that offers significant relief from symptoms, it has changed the lives of many. But how does Medicare coverage work with this crucial medication? Let’s explore.

What is Remicade? πŸ’Š

Remicade (infliximab) is a biologic medication used to treat a range of autoimmune diseases. By blocking the activity of tumor necrosis factor-alpha (TNF-alpha), it helps control inflammation and manage symptoms effectively.

The Cost Hurdle πŸ’°

Remicade’s effectiveness comes with a hefty price tag; a single infusion can cost anywhere from $1,300 to $2,500. This raises concerns about affordability and emphasizes the importance of insurance coverage.

Remicade and Medicare πŸ“˜

Fortunately, Medicare typically provides coverage for Remicade, mostly through Medicare Part B, which covers outpatient services like infusions.

Coverage Details πŸ“œ

Medicare Part B generally covers 80% of the approved amount for Remicade infusions after you’ve met your yearly deductible. You’d be responsible for the remaining 20%, which can still be a considerable amount.

Supplementary Plans πŸ›‘οΈ

To manage the 20% that Medicare doesn’t cover, many people opt for Medicare Supplemental Insurance (Medigap) or a Medicare Advantage plan. These additional plans can help lower out-of-pocket expenses.

Prior Authorization and Restrictions ⚠️

Your healthcare provider may need to obtain “prior authorization” from Medicare to confirm the necessity of Remicade for your condition. This step ensures that the treatment is both medically necessary and cost-effective.

Conclusion 🌟

Remicade has been a breakthrough in the treatment of autoimmune diseases, offering an effective way to manage symptoms and improve the quality of life. While Medicare does provide significant coverage for this medication, understanding the nuances of your specific plan can make a world of difference in managing costs.

As we continue to navigate the complex landscape of healthcare, the relationship between Remicade and Medicare serves as a pivotal example of how insurance can facilitate access to life-changing treatments. 🌟

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!
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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.