Original Medicare typically does cover immunotherapy for cancer if it is deemed medically necessary by a doctor. The part of Original Medicare (Part A or Part B) that covers your immunotherapy for cancer will depend on the type of facility in which you undergo treatment.
Medicare Advantage (Part C) plans may also cover immunotherapy for cancer if ordered by your doctor.
Medicare Advantage plans also include an annual out-of-pocket spending limit. This can potentially save you money in Medicare costs for your cancer treatment.
Original Medicare does not include an out-of-pocket spending limit.
Depending on where your cancer treatment (including immunotherapy) is administered, Medicare Part A or Part B may cover some of your costs:
Immunotherapy is an innovative cancer treatment that modifies the cells of your immune system to help fight and kill cancer cells.
Speak with your doctor to learn more about immunotherapy and other cancer treatments and how Medicare may or may not cover them.
Even if Medicare covers your immunotherapy, there are some out-of-pocket costs you should expect to pay, which may include:
There is no annual limit on how much you could pay for the Part B coinsurance in a given year. This means that your Part B coinsurance costs could add up quickly for immunotherapy and other cancer treatments.
Medicare Advantage plans are required to provide at least the same coverage as the benefits that are offered by Original Medicare.
If your immunotherapy is covered by Original Medicare, it will also be covered by a Medicare Advantage plan.
Many Medicare Advantage plans offer additional benefits that aren’t covered by Original Medicare, such as prescription drug coverage.
Depending on the plan you have, your Medicare Advantage plan may provide coverage for certain cancer medications that Medicare Part B doesn’t cover.
These cancer drugs may include, but aren’t limited to:
Medicare Advantage plan availability and benefits may vary, and a Medicare Advantage plan that covers immunotherapy for cancer might not be available where you live.
To learn more and to compare plans in your area if you’re eligible to enroll, call to speak with a licensed insurance agent today.
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