I'm switching from bcbs to medicare in a few months and my Neurologist and I have discussed changing my medication to Ocrevus. Ocrevus does not seem to be covered by any of the medicare advantage plans I have researched. Is this because it is too new to have made it into their formularies? Is it because it's an infusion drug instead of a patient administered drug? Is there anyone on this forum who has medicare and gets their Ocrevus covered? I have to pick a plan. in the next few months and I don't want to choose wrong.
Thanks for reaching out! We have a team of Medicare/Medicaid specialists who can help you figure this out. Please call 1-800-344-4867 to speak to a Benefits and Employment specialist Monday through Friday, 7am-5pm MT.
Good luck. I recently switched from BCBS and my new insurance company does not want to cover the Rebif that I take 3 times a week. They would prefer that I take Aubagio which I've never had
Following up with the answer I received
Perhaps this can help someone else? Ocrevus is not a self-administered medication,. It is given by medical professionals in a clinic or infusion room. That is why it's not found on listed in insurance company drug formularies. It's not covered under part D. It may or may not be covered by medicare. As with all in office treatments, there are no guarantees.