Friday, September 12, 2008

Molly Janczyk's experience with medical supplies: Who covers what

Molly Janczyk to Shirlee Zerkel, September 11, 2008
Subject: Supplies
Hi, I read on the blog your concern. I can tell you from my husband's coverage with such supplies as listed, it is under medical not RX. Medicare, the Primary pays the 80% and STRS pays 80% of the remaining 20% which leaves you with 20% of the 20% -- normally a small charge. After you pay your $500 deduc and your $1500 out-of-pocket for the year, then STRS pays 100% and you pay -0-.
My husband had to get supplies recently while out of town and the pharmacist told him to bill Med. Mut. for reimbursement. Plus we have had other items fall under medical not RX and therefore falls under the medical format.
Larry KehresMount Union Collge
Division III
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