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Home Infusion Therapy

Providers of home infusion therapy submit claims to insurance companies first. They will send you statements about the billings. Contact your insurance provider for specific coverage information, including criteria, deductibles, and copays.

Most infusion therapies cost at least $100 a day, so it is very important that insurance coverage is established up front to avoid a potentially large bill.

Infusion therapy providers review insurance coverage prior to initiating services. Most insurance plans will cover home infusion therapy when there is an established "Medical Necessity."

Commercial Insurance
Commercial insurance may cover home infusion therapy. Check with your insurance representative to review your coverage.

Managed Care Insurance
Managed care insurance companies identify their "network" health systems, and you may have to select a home infusion therapy provider within that network to receive coverage. Contact your managed care insurance provider to discuss how your home infusion therapy provider selection may impact reimbursement.

Medicare
Medicare, in almost all cases, does NOT cover home infusion therapy (you must pay the full cost yourself). Medicare may pay for these services in other settings, such as in a Nursing Home or outpatient setting. You may need to review your medical care and insurance with your doctor.

Medicaid
Medicaid will cover home infusion therapy when there is an established "Medical Necessity."

U.S. Veteran's Benefits
U.S. Veteran's Benefits may cover home infusion therapy. Contact your representative to review your coverage.