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Author Topic: Medicare Part B Question  (Read 1388 times)

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Offline whiteboy500

  • Member
  • Posts: 19
Medicare Part B Question
« on: February 15, 2008, 02:21:28 PM »
Hello, I have a friend who is Hiv positive, He was told that Fuzeon is the only drug available on Part B.   Is that true?  Does anybody know what Part B covers?   I think he uses Part A for doctor visits.   I'm not exactly sure about his pharmacy plan.    We both live in Dallas Texas.

Offline aztecan

  • Member
  • Posts: 5,517
  • 32 years positive, 60 years a pain in the butt
Re: Medicare Part B Question
« Reply #1 on: February 15, 2008, 02:31:01 PM »
Well, your friend is misinformed.

Medicare Part B covers no meds whatsoever. Part B deals with hospitalization and other such things.

Medicare Part D is the prescription drug coverage. What is covered varies between Part D. plans, which your friend will have to enroll in. Also, many Part D plans have what is called the doughnut hole, which would force him to cough up a couple thousand dollars each year.

There are plans the eliminate the doughnut hole, depending on your friend's income, although it varies from state to state and I don't know how Texas handles this. If memory serves, Texas has some bizarre methods of financing health care.

Anyway, your friend should contact his local ASO where a case manager should be able to help figure this out and get him signed up with the plan that is best suited to his needs.

Hope this helps.


"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline whiteboy500

  • Member
  • Posts: 19
Re: Medicare Part B Question
« Reply #2 on: February 15, 2008, 02:43:56 PM »
thank you aztecan!  You're very helpful, don't know how to respond to you personally so hope u get this

Offline BT65

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  • Member
  • Posts: 10,785
Re: Medicare Part B Question
« Reply #3 on: February 15, 2008, 06:15:38 PM »
Medicare Part A covers hospitalizations (at least mine does).  Part B covers doctor's visits.  Part D covers meds.  Mark is correct.  He really does need to contact the local ASO.

Edited to add:  Because I qualify for Medicaid in my state, they pay the Medicare premiums, and I don't have that doughnut hole thing.  He will have to contact the proper agencies to find out if he qualifies for such help.
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