CommunityMember1179
I have been approved by Medicare for IVIG treatments at home but was informed by Optim Infusion there is a $4239.50 out of pocket expence. Anyone know anything about this.
CommunityMemberb5766d Member
I have Medicare and Tricare for Life. My cost was about $25 per infusion.
CommunityMember1179 Member
I am using Optum Infusion and have Medicare and BCBS for insurance. After learning of the $4200.00 out of pocket expence that there is no way I could afford, Optum informed me there was a hardship assistance program I could apply for that would cover all of the out of pocket expence. I applied and was approved. IVIG will start next week 2 days/week/month. I'll be concerned until I see the bills being paid.
Deborah Vick Moderator & Contributor
Yes, I am familiar with that. I've been getting home I VIG treatments now for approximately three years. I get infusion treatments every other week for two days any between I do the IV fluids. Every year I have to pay the deductible. Now in my case I pay a deductible and a percentage of the cost of treatment until I meet my out of pocket deductible, which is approximately $5000 and is usually met with him the first month of my plan I know that each plan is different in terms of copayments and deductibles. Also depending on whether or not you receive disability Medicare may also help pay for copayments and deductibles. That being said many of the companies have payment plans as well as financial assistance through foundations like the MGFA and the number of the pharmaceutical companies.
I understand that home and infusion treatments are not for everybody. For me however, it became an a necessity. As transportation to the infusion centers is a $75 Uber ride each direction or a combination of Uber and train which meant three hours of traveling each direction and almost always loss of consciousness and public transportation.
I have been blessed with some phenomenal how many fusion nurses and one instance of a not so great experience, but overall it has been incredibly tremendous and allows me to remain active and engage during infusions in the comfort of my own home. Hoping this helps -
team member Deborah
Deborah Vick Moderator & Contributor
@Alan We’re all different and how about his respond to the IVIG. Personally, I need the IV fluids bc of another underlying condition called POTS/dysautonomia. The additional fluids help control and maintain my blood pressure during the IVIG.- team member Deborah
Deborah Vick Moderator & Contributor
@Alan they could be used for that as well. I have had problems with headaches, but not blood clots. thank you - I should be out of the hospital in a day or two. - team member Deborah
Sally Farrier Moderator & Contributor
All insurance including Medicare are different for each person.
But I am including a link that could be useful