Medicare covers anemia; costs are dependent on cause, severity, and treatment the doctor prescribes. For example, if you receive injections at your doctor’s office, Part B might offer coverage.
However, if your doctor prescribes pills, those would fall under a Part D prescription drug plan. Medicare does not cover over-the-counter vitamins or iron supplements.
How Medicare Covers Anemia
Medicare coverage for anemia treatments will depend on the type of treatment and where you receive it.
Traditional Medicare doesn’t cover over-the-counter vitamins and supplements.
Original Medicare doesn’t cover prescription medications that you take at home. Part D prescription drug plan or prescription coverage under your Medicare Advantage plan will cover anemia medications. Each plan has its own rules for drug coverage and how much you pay.
Part B covers doctor visits and procedures in a doctor’s office or outpatient facility. This includes injections at your doctor’s office and outpatient surgery. Part B has a small deductible, and after that, it pays 80 percent of your costs. You can reduce or eliminate your 20 percent share by buying a Medigap plan.
Part A covers you while in a hospital. This includes medications, injections, blood transfusions, and surgeries. Part A also has a deductible, but after that, your first 60 days in the hospital are fully covered. Beginning on day 61, you must bear part of the cost. A Medigap Plan can extend your coverage under Part A.
If you have a Medicare Advantage plan, you are guaranteed the same coverage as you would receive under Parts A and B. However, your deductibles, copays and the providers available under your plan will vary depending on the plan you’re in.
Anemia is a shortage of red blood cells. These cells carry oxygen from your lungs to the rest of your body. When you don’t have enough healthy red blood cells, your body can’t get the oxygen it needs to function properly. You may feel tired or have other symptoms.
Anemia can be a minor condition that is easily treated with vitamins and a change in diet. But anemia can also be a symptom of something more serious.
Along with exhaustion, symptoms of anemia include weakness, irregular heartbeat, dizziness, shortness of breath, cold hands and feet, pale or yellowish skin, and headache.
Anemia: Causes and Treatments
There are several types of anemia and they all have different causes. According to the Mayo Clinic, common types of anemia and their treatments include iron deficiency anemia, vitamin deficiency anemia, chronic disease anemia, Bone marrow disease anemia, and Hemolytic anemia.
When you have medical issues, having Medicare can alleviate some of the expenses; since Medicare covers most anemia treatments, a Medigap policy could leave you with little to no expenses.
Iron deficiency anemia is when your body doesn’t have enough iron, your bone marrow can’t make hemoglobin, a protein that allows your red blood cells to carry oxygen from your lungs to the rest of your body.
Iron deficiency anemia can be caused by pregnancy, loss of blood, ulcers, cancers, and regular use of aspirin. It is usually treated by changing your diet and taking iron supplements.
Vitamin deficiency anemia happens because the body doesn’t produce enough Folate and vitamin B-12; these are important for producing healthy red blood cells.
If you don’t consume enough of these vitamins, or if your body has trouble processing them, you may become anemic. Treatment for this type of anemia is usually in the form of supplements; however, some people may need vitamin B-12 shots.
Underlying chronic disease such as cancer, kidney disease, HIV/AIDs, and chronic inflammatory diseases can cause anemia. In these cases, doctors focus on treating the underlying condition.
Bone marrow disease anemia is from diseases such as leukemia and myelofibrosis interfere with the ability to produce blood in your bone marrow. Treatment varies depending on the disease but could include chemotherapy, medications and bone marrow transplants.
Hemolytic anemia occurs when the body destroys red blood cells faster than it can replace them. Treatment for this anemia could be with drugs, blood transfusions, supplements, blood filtering procedures or surgeries.
Cover Costs Medicare Won’t Cover for Anemia
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