Medicare and Leqembi

allit

Hi! Anyone out there on Leqembi and have Medicare? My wife is on Leqembi and just turned 65 and signed up for original Part A and B Medicare. We’re wondering how much Medicare pays for Leqembi? And how much is left over for the patient to pay? The first few infusions were given when she was still on my BCBS insurance. So we want to compare to see which coverage pays more so we can decide which one should be the primary coverage and which one the secondary.

Septamom

Good morning - are you aware of patient support programs that can help you decide what route would be better?
https://www.eisaipatientsupport.com/

harshedbuzz

When it was first approved, this was what was being reported.

Medicare says it will pay for the Alzheimer's medication Leqembi. Here's how it works. - CBS News

Her doctor's billing department might know.

MaryMN

My husband has traditional Medicare and a supplement. Between the two of them, his infusions have been no cost to us.

allit

I think we got it sorted out. My BCBS is the primary insurance now and they paid a big chunk. So far, unless we hear otherwise, Medicare picked up the rest. We’ll be crunching some numbers soon to see if it would be better to switch it around and have Medicare as primary. But for now we’re good.