This is a Medicare Part B covered medication, but all the doctors I contacted told me that I have to purchase it myself & then bring it to them. There would be no reimbursement for my costs ... $1,6000. One doctor's office told me to order it through a Canadian pharmacy for about $400. Medicare can't tell me why the doctors are doing this only that it is not the way it's supposed to work.
Why does my doctor no longer supply Orthovisc? I 'm to buy it myself?
- Posted:
- 16 Sep 2011 by ConfusedinFlorida
- Topics:
- orthovisc, doctor, prescription
Answers (1)
16 Sep 2011
That sounds strange. Drugs covered under Medicare Part B are usually supplied by the Dr office. Best thing for you to do is to get on the phone with your insurance carrier. Call the member services number on your card and ask them. You may even try the CMS website if you have straight Medicare only. From what I know this should be covered under Medicare B because it is not something that you can give yourself. It can olny be administered by a Dr so therefore should be covered under Part B. If you have spoken to both the Dr office and Medicare then you need to have the Dr office talk to medicare in your presence. Here is a link to what I found on the CMS website. Somehow the Drs offices are misinformed. Here is the link:
http://www.medicareinteractive.org/uploadedDocuments/mi_extra/B-vs-D-chart.pdf
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Thank you for your thorough response. I'll keep plugging away.