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-   -   Medicare paying for a Stem Cell Transplant (http://forums.marrowforums.org/showthread.php?t=4973)

Data Wed Jun 3, 2015 03:27 PM

Medicare paying for a Stem Cell Transplant
 
Has anyone had Medicare pay for a stem cell transplant or had problems getting them to pay for one? I have an appointment later this month to talk to the transplant team and wonder if Medicare will pay for it.

Thanks

Data

johnwc Wed Jun 3, 2015 08:34 PM

I went in Jan 1, 2015, for my SCT. I ended up costing me about $800 which was mostly my $40 copays to the doc who made the daily rounds. Seems like all fees I paid were the ones thru my Advantage plan (doc visits) and never saw a bill for Medicare.

rar Wed Jun 3, 2015 09:27 PM

Medicare pays for SCT if you were on an approved clinical trial. My provider was denied twice and approved on the third appeal. I was on an approved clinical study. Medicare and supplement paid the entire amount.

See
http://www.cms.gov/medicare-coverage...=ACAAAAAAIAAA&

or google does Medicare pay for stem cell transplants

Ray

Data Thu Jun 4, 2015 05:24 PM

Thanks Ray and John,
At this point they are just talking about it. Hopefully I wont make it to the point I need a SCT.


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