Reply
Honored Contributor
Posts: 35,779
Registered: ‎05-22-2016

I know I can ask this question to my insurance company but I thought I would ask here first.

 

I go to an infusion center to get my medication injected (not infused) every month.  I don't see a doctor but a nurse gives me the injection. Is it normal procedure to have to pay a copay for this sort of thing? I'm new to this infusion center situation.

Trusted Contributor
Posts: 1,556
Registered: ‎05-20-2023

@SilleeMee 

 

DH has infusions at an infususion center every 6 weeks and we don't have a co-pay.

 

We have Medicare and B/C B/S Federal Eployees insurance, if that makes any difference.

Honored Contributor
Posts: 35,779
Registered: ‎05-22-2016

@KingstonMom 

I have a Medicare Advantage plan. 

Trusted Contributor
Posts: 1,556
Registered: ‎05-20-2023

Then you shouldn't have a co-pay.

Honored Contributor
Posts: 35,779
Registered: ‎05-22-2016

@KingstonMom 

That's what I thought. Thanks.

Honored Contributor
Posts: 30,993
Registered: ‎05-10-2010

That's a question for your insurance company because coverage and benefits vary.

Esteemed Contributor
Posts: 5,713
Registered: ‎06-09-2010

@SilleeMee  I would go to the website where you get your insurance and they should list your benefits. This should answer your question. 

Honored Contributor
Posts: 35,779
Registered: ‎05-22-2016

I'm going to call my insurance company to ask them. Just wanted to know here first. Thanks!

Honored Contributor
Posts: 12,017
Registered: ‎03-19-2010

@SilleeMee does your Advantage plan require you to go to an in-network facility?  I had a friend rn into a problem when their Medicare insurance decided the nurse who administered her infusion at home was no longer in-network.  They wanted HIM to administer her infusion.  I don't know what became of that situation as he has since died and I'm not in touch with her very often and I wouldn't bring it up anyways.  As far as I know, we don't have infusion centers.  

Honored Contributor
Posts: 35,779
Registered: ‎05-22-2016

@Icegoddess wrote:

@SilleeMee does your Advantage plan require you to go to an in-network facility?  I had a friend rn into a problem when their Medicare insurance decided the nurse who administered her infusion at home was no longer in-network.  They wanted HIM to administer her infusion.  I don't know what became of that situation as he has since died and I'm not in touch with her very often and I wouldn't bring it up anyways.  As far as I know, we don't have infusion centers.  


 

 

@Icegoddess 

Yes, the infusion center is in-network.