People who are new to Medicare and have recently been diagnosed with cancer, wonder about their coverage. In this Senior Affair article, Find out how Medicare covers chemotherapy.

1.8 million people are diagnosed with cancer each year. Breast cancer is the most common type of cancer, affecting women more than men. 

With cancer being so common, you aren't alone in wondering: does Medicare cover chemotherapy? What about other cancer treatments and cancer drugs? Wonder no longer because we're answering those questions for you today.

does-medicare-cover-cancer-treatment.

Ready to learn more about Medicare cancer coverage? Then keep reading because this one's for you.

Does Medicare Cover Chemotherapy?

Yes, Medicare does cover chemo! Whether you have Original Medicare or a private Medicare Advantage plan, you can get coverage for inpatient and outpatient chemo treatments.

Inpatient Chemotherapy

Original Medicare and Medicare Advantage Part A will cover chemotherapy treatments you receive in a hospital. However, you will have to meet your deductible before Medicare starts paying out. 

Outpatient Chemotherapy

Original Medicare and Medicare Advantage Part B will cover outpatient chemotherapy treatments if you have cancer.

Part B covers 80% of the cost of chemo treatments you get at a freestanding clinic or a doctor's office. Treatments you receive in your home or another outpatient setting will require a copay. 

Part B also covers chemo treatments you get at a skilled nursing facility. Medicare will only pay for 100 days of professional nursing facility chemo treatments per benefit period. If you need chemo treatments for more than 100 days, you'll have to pay out of pocket. 

Other Cancer Treatments Covered Under Medicare

Chemo isn't the only approved technique for treating cancer. Radiation therapy and immunotherapy are also common today. 

Here's what you need to know about Medicare coverage for radiation therapy, immunotherapy, and cancer drugs. 

Radiation Therapy

Radiation is a cancer treatment that targets cancer cells helping to slow the growth of tumors or prevent them from metastisizing. 

Medicare Part B does cover radiation services you receive in an outpatient setting. Medicare Part A will cover the radiation services you receive at a hospital. 

Immunotherapy

Immunotherapy is a modern cancer treatment. It uses your immune cells to fight off cancerous cells. 

In some cases, Medicare will cover immunotherapy. Immunotherapy is covered by Part A if you receive it at home or in a doctor's office. While Part B covers immunotherapy, you receive it at a hospital. 

Cancer Medications

Part B Medicare does cover some cancer medications. For example, Part B will cover 80% of anti-nausea medications and IV cancer treatments. Most other drugs aren't covered under Medicare Part B.

The good news is that Medicare Part D prescription drug plans cover many of the medications Part B doesn't, including injections you need at home and medicines that could prevent or reduce the spread of cancer. 

Get Coverage For Your Cancer Treatments

So, does Medicare cover chemotherapy? Original Medicare and Medicare Advantage plans offer benefits for cancer treatments. But if you want to avoid paying out-of-pocket costs, Medigap may be for you. 

Are you looking for a Medigap plan that will have you completely covered when it comes to cancer? Contact a licensed insurance agent today and get the coverage you deserve!

  • Was this Helpful for you?
  • YesNo
Related posts
Medicare

What Are The Changes in Medicare Part D Prescription Drug Coverage in 2022?

The Centers for Medicare and Medicaid Services changes the parameters of the Medicare Part D…
Read more
Medicare

Medicare Enrollment Period 2021, Are you ready for it?

Did you know that the Medicare Open Enrollment Period (AEP) is the only time that you can add, drop…
Read more
Medicare

Why Medicare Plans Are Bad: 7 Facts You Should Know.

A popular question here atSenior Affairis,are Medicare Advantage Plans…
Read more
Newsletter
Be The First to Know!

Sign-up for Exclusive E-mail Only Weekly Deals & Discounts in your Inbox. Curated especially for you by Senior Affair.