Medicare Spotlight January
January 18, 2017 | by The Polyclinic

We’ve teamed up with Connexion Insurance Solutions to provide you answers to some of the frequently-asked-questions patients ask about Medicare. Each month we’ll publish an article or series of questions that are commonly asked about Medicare.

Are experimental drugs covered in my Medicare insurance coverage?

Experimental drugs are not covered by insurance but are often provided at no cost by the pharmaceutical company that’s conducting the clinical trials (experimentation).

Specialty drugs are “approved for use” by FDA. Experimental drugs are “not approved for use” by FDA but are “approved for use in clinical trials.”

Does having Medicare and employer coverage lower my costs on my employer plan?

No. When using an employer group plan and Medicare, the employer plan receives “coordination of benefits” or “cost sharing” from Medicare only when hospital charges are incurred. Even though you’re on Medicare, the employer plan is responsible for the full cost of private insurance contract rates for services that would otherwise be covered under Medicare Part B.

Sam Strok, Connexion Medicare Producer


Connect with a Medicare Specialist

The Polyclinic has partnered with Connexion Insurance Solutions to provide you expert resources in selecting a Medicare plan. Licensed insurance specialists at Connexion can assist in an unbiased manner to compare and choose a plan. Call 1-877-914-7526, Monday through Friday 8 a.m.- 5 p.m.