Is chemotherapy covered in an outpatient setting (doctor’s office, hospital outpatient, clinic, etc)?
In many cases your cancer treatment will include drug therapy along with your chemotherapy. Most plans cover chemotherapy provided in an outpatient setting. Private insurance plans (for example, Aetna, Blue Cross, and Blue Shield) generally cover chemotherapy under a major medical benefit. In addition to chemotherapy, major medical benefits usually include coverage for doctors’ services, diagnostic tests, laboratory services, etc. Medicare covers chemotherapy under its Part B program. Part B also covers doctors’ services, diagnostic tests, durable medical equipment, ambulance services, and other health services and supplies not covered under the Medicare Part A program. State Medicaid programs usually cover chemotherapy under the doctor or pharmacy program. Please see the links to learn how GSK can help, to get help from America s pharmaceutical companies, or to find other resources that can help.