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Medicare Home Infusion Site of Care Act
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Advocate for Medicare Coverage of Home Infusion

The Medicare Home Infusion Site of Care Act of 2015 (HR 605/S 275) is a bill of interest to Oley members as it aims to expand Medicare’s covered benefits. Introduced in January, this bill has the potential to impact all Medicare beneficiaries, and Oley is urging you to take action in support of it.

Unlike parenteral and enteral nutrition, which are covered under Medicare Part B for home use, infusion treatments such as IV antibiotics, some cancer medications, and hydration, may not be. The medicines are generally covered by Medicare Part D, but there is no coverage for the related professional services (i.e., home nursing), supplies, and equipment needed to safely administer the therapy in the home. This bill, if passed, will amend the Medicare section of the Social Security Act to close this coverage gap, thereby aligning Medicare with private health insurance plans, most Medicare Advantage plans, Tricare, and many state Medicaid programs.

In the current situation, Medicare beneficiaries in need of infusion therapy may be required to receive these treatments in healthcare facilities rather than in their homes, although the home may be the most desirable, convenient, and cost effective setting. As Oley members know, having to travel to—or remain in—a healthcare facility to receive infusion treatments can be inconvenient, disruptive, and costly. Home infusion can also be safer, by allowing patients to avoid unnecessary exposure to hospital-acquired infections.

Whether you are a Medicare beneficiary at this time or not, we are asking you to contact your Congressman or –woman and voice your support for this bill. Let them know this is important to you. It is critical for every member of Congress to hear from their constituents about how home infusion is an important component of the health care you, or your loved one, needs. You are the most important voice in this process.

(Remember: even if you are not currently a Medicare beneficiary, this may change.) Please help us work with our partner organizations, including the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) and the National Home Infusion Association (NHIA), to ensure that this coverage gap is closed. Numbers matter.

Sample letters that you can personalize  Senate/House of Representatives

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LifelineLetter, May/June 2015

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This website is an educational resource. It is not intended to provide medical advice or recommend a course of treatment. You should discuss all issues, ideas, suggestions, etc. with your clinician prior to use. Clinicians in a relevant field have reviewed the medical information; however, the Oley Foundation does not guarantee the accuracy of the information presented, and is not liable if information is incorrect or incomplete. If you have questions please contact Oley staff.

 

Updated in 2015 with a generous grant from Shire, Inc. 

 

This website was updated in 2015 with a generous grant from Shire, Inc. This website is an educational resource. It is not intended to provide medical advice or recommend a course of treatment. You should discuss all issues, ideas, suggestions, etc. with your clinician prior to use. Clinicians in a relevant field have reviewed the medical information; however, the Oley Foundation does not guarantee the accuracy of the information presented, and is not liable if information is incorrect or incomplete. If you have questions please contact Oley staff.
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