External Catheters Covered by Medicare: A Complete Guide for US Seniors
Navigating the golden years brings its own set of health concerns, and managing them effectively and affordably becomes a key priority. One topic that might not be widely discussed but is incredibly important is the use of external catheters. For many seniors, understanding how Medicare covers medical supplies like external catheters can be a confusing […]
Is Tulsa-Pro Covered by Medicare?
Prostate cancer treatment continues to evolve, with patients and healthcare providers exploring more effective and less invasive therapeutic options. One such innovative method that gained in popularity is Tulsa-Pro – therapeutic technology that uses ultrasound to ablate prostate tissue. As with other treatments, a common patient concern is whether a given treatment is covered by […]
Is Simponi Aria Infusion Covered by Medicare Part B
Simponi Aria, also known as golimumab, is a medication primarily used to treat numerous autoimmune diseases. It is indicated for the treatment of rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. As an infusion, Simponi Aria operates as an immune-system decelerator. It is chemically designed to hinder tumor necrosis factor (TNF); TNF is a kind of […]
Is Visiting Angels Covered by Medicare?
1. Introduction However, if this care is not directly tied to skilled care for acute or chronic conditions, Medicare’s benefits are very limited. This is where there is often a great deal of confusion for Medicare beneficiaries. Many think that all homecare is covered by their benefits. However, it’s important to distinguish traditional home health […]
Coverage of Taltz by Medicare Part B
1. Introduction The Taltz signaling cytokine involved in the pathogenesis of psoriatic arthritis and psoriasis. The PSUMMIT trial had 2/3 of patients weigh under 100kg, with the remaining patients having a dose of 120mg Taltz IV at weeks 0-4, then every 2 weeks to week 24, with or without MTX and placebo group. High bone […]
Medicare Coverage for Gentle Cures
1. Introduction Kidney failure should be considered a pandemic. Worldwide, over 1,000,000,000 people have reduced kidney function. In the United States, it is estimated that about 5,300,000 are receiving some type of treatment for kidney failure. 2010 USRDS data from 2010 states that 368,000 receive hemodialysis treatment. Approximately 200,000 have a functioning kidney transplant. A […]
Medicare Coverage for Pluvicto
1. Introduction Medicare was established in 1965 as a social insurance program for seniors and disabled citizens. It has markedly improved the access of the elderly to healthcare. Prior to Medicare, approximately 65 percent of those over 65 had health insurance, with coverage often unavailable or unaffordable to the oldest and poorest individuals. The uninsured […]
Is Medicare coverage available for gentle cures?
1. Introduction The manner in which the Social Security Act defines what Medicare will consider for payment is relatively consistent with this definition. However, the AMA goes on to say that “the volume and level of physician services should be consistent with the legitimate purposes of establishing a proper physician-patient relationship and meeting the patient’s […]
Is comfort keepers covered by Medicare?
1. Overview Unfortunately, the vast majority of Comfort Keepers’ services are of a private duty nature. This means that there is little to no Medicare coverage for these services. The services that Comfort Keepers provide could best be categorized under a long-term care service called custodial care. In order for any type of custodial care […]
Female External Catheters Covered by Medicare
1. Introduction As of the present date, the Health Care Common Procedure Coding System (HCPCS) has approved multiple female external urinary management devices for coverage by Medicare. The approved codes are listed in Table 1. Only a couple of these devices are regularly utilized and prescribed by physicians, in part due to lack of knowledge […]
