Does Medicare Cover Parkinson’s Disease Treatment?

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Will Medicare Provide Coverage For Me to Receive Needed Parkinson’s Disease Treatment?

When you enroll in Medicare, learning which treatments it will cover for certain illnesses can feel like a Herculean task. The important thing to realize is that treatments for most illnesses, diseases, and disorders are covered by Medicare in some way or another. If the treatment is medically necessary, then it’ll likely be covered.

Parkinson’s Disease is particularly debilitating, and the prices you’ll pay to receive treatment for Parkinson’s can drain your financial resources quickly. If you’re of age to receive Medicare and you’re suffering from Parkinson’s Disease, you may wonder, “Is Parkinson’s covered by Medicare?”

The good news is, yes, most treatments utilized to combat the effects of Parkinson’s Disease are covered by Medicare. While there isn’t a specific plan within Medicare for Parkinson’s Disease, it doesn’t mean treatment for Parkinson’s and Medicare aren’t compatible. Let’s take a look at how Medicare can help cover your treatments for Parkinson’s Disease.

Original Medicare Handles Inpatient and Outpatient Treatment

Medicare Part A and Part B, collectively known as Original Medicare, will handle most inpatient and outpatient services for Parkinson’s Disease treatment.

Part A is hospital insurance, so any treatment that Part A will pay for must be related to any hospital visits or stays related to your condition. Some of the Parkinson’s treatment services covered by Medicare Part A include:

• Inpatient hospital care
• Surgical procedures
• Limited or intermittent skilled nursing care in a skilled nursing facility

Part B is medical insurance, and will cover most outpatient treatment related to Medicare for Parkinson’s Disease. Some of the treatments for Parkinson’s Disease covered by Medicare Part B include:

• Primary Care Physician (PCP) and Specialist visits
• Diagnostic tests
• Durable medical equipment (DME)
• Occupational and physical therapy

Medicare and Parkinson’s Prescription Drug Treatments

If you regularly take prescription medications to treat symptoms of Parkinson’s, you likely already know that those medications can be very costly. Fortunately, a Medicare Part D Prescription Drug Coverage plan may help you keep the costs of the prescription medications that you take for Parkinson’s manageable.

For those who have Parkinson’s Disease, having a Medicare Part D plan is extremely beneficial. Many Part D plans that you’ll find will cover critical medications such as Carbidoba/Levodopa. It’s important to note that Part D plans are carried by private insurance carriers, so be sure to check with the provider before purchasing a plan to learn whether or not it offers coverage for the medications that you need.

Having trouble looking for a Medicare plan that covers the Parkinson’s medications that you need? We’ve got you covered. Just enter your zip code into our free finder tool today to compare Medicare plans in your area.

Will a Medicare Advantage (Part C) Plan Help Me Cover Supplies?

In some instances, Medicare Advantage plans will help you cover the cost of supplies needed for Parkinson’s Disease treatment. Medicare and Parkinson’s treatment coverage can vary from plan to plan, so it’s important to look at Part C plans to see what they will or will not cover.

There are some Part C plans that require you to pay up to 20 percent coinsurance until you reach your deductible, which could reach as high as $7,550 as of 2021. This may lead to more out-of-pocket costs than you’re likely willing to pay. You want your Part C plan to lighten the burden of your Parkinson’s Disease treatment costs, not raise them, so shop around until you find what works best for you.

As Always - Be Aware of Plan Limitations

Medicare will pay for many aspects of your Parkinson’s Disease treatment, but it won’t cover everything. All Medicare plans have limitations on what they will or will not cover regarding treatment for any illness.

Before submitting a claim for a certain treatment, even if you’ve been told that it’s covered by Medicare, double check to make sure that your Medicare plan will cover the cost. A treatment that isn’t covered by Medicare will be denied, and you’ll be left handling the cost out-of-pocket.