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Trump Administration: Medicare Enrollees Can Get COVID Antibody Therapies at No Cost

Posted on Wednesday, November 11, 2020
by Outside Contributor

Medicare beneficiaries won’t have to pay out of pocket for monoclonal antibody therapies to treat Covid-19 during the public health emergency, the Trump administration said Tuesday.

The Centers for Medicare & Medicaid Services said that coverage of those antibody infusions applies to Eli Lilly & Co.’s bamlanivimab, which the Food and Drug Administration authorized Monday for emergency use against mild-to-moderate Covid-19 in adults. Monoclonal antibodies are laboratory-made proteins that imitate the immune system’s ability to fight off viruses, according to the FDA.

“CMS is announcing a historic, first-of-its kind policy that drastically expands access to COVID-19 monoclonal antibodies to beneficiaries without cost sharing,” CMS Administrator Seema Verma said in a statement. “Our timely approach means beneficiaries can receive these potentially life-saving therapies in a range of settings—such as in a doctor’s office, nursing home, infusion centers, as long as safety precautions can be met.”

The CMS said it expects health-care providers will initially be able to get the product at no charge. Medicare won’t pay for antibodies that providers get for free, but it will reimburse them for the infusion of the product, the agency said. It said it expects the announcement will enable home health agencies, nursing homes, and a range of other providers to administer the treatment and bill Medicare for the infusion.

Once providers start having to pay for the treatment, the CMS said it “anticipates setting the payment rate in the same way it set the payment rates for COVID-19 vaccines.”

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Maggie Meyer
Maggie Meyer
3 years ago

We are praying that God will deliver the presidency to Trump. Trump had the votes to win, but the Democrats were fixated on stealing the election any way they could, obviously the reason they introduced mail in voting. Hopeful that the Supreme Court and states will do their part in following the constitution to right this wrong.

3 years ago

Better hope that Trump wins this battle against a rigged election or else this policy will likely be changed by Biden. Biden has already named Zeke Emanuel to his Covid task force and given his views on the elderly in this country (you shouldn’t waste money on keeping those 75 and older alive), I can easily envision where where antibody treatments are reserved for those younger. Remember, Zeke was one of the authors of Obamacare. Elections have consequences and everyone better hope this fraudulent one is over-turned.

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