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nebulizing albuterol and saline

MAC & Bronchiectasis | Last Active: Dec 20, 2022 | Replies (26)
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@totty

Nebulizer’s nor Albuterol and saline are covered by my husband’s Medicare but I think I read somewhere that if the physician would write a prescription for these and use a specific code that these are would be covered.
Is anyone familiar with this?
Thanks,
Totty

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Replies to "Nebulizer’s nor Albuterol and saline are covered by my husband’s Medicare but I think I read..."
becleartoday | @becleartoday | Dec 20, 2022

If your husband has MAC lung disease, the Healthwell Foundation will help pay co-pays and supplemental insurance premiums. I’m not sure if they would specifically cover nebulizers and saline, but it’s worth asking them.
Best,
Linda Esposito

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Sue, Volunteer Mentor | @sueinmn | Dec 20, 2022

Oh my, I apologize. I wrote you a long answer yesterday, only to have my computer shut down before I could push "Reply"

Please know - if prescribed by a doctor, Medicare Part B covers nebulizer, Albuterol & saline. If your husband has Medicare Part B or an "umbrella" Advantage Plan or a supplement, IT IS COVERED. Two things often happen - pharmacists submit it under Part D (prescription drugs) - which is incorrect, and it gets rejected. Or, the wrong diagnostic and dispensing codes were used.

Here is the official 2022 information from the government:
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52466#
Feel free to share this with your care team.
Sue

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