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Dear Folks:

I've been getting xolair shots for three months and I'm really doing

well. I've been trying to get S.S. disability for two years now.

Well it I got it and they sent me my Medicare card. Medicare will

pay 80% of the xolair and my insurance will pay the other 20%. The

problem is Medicare says it has to be supply and bill. Which means

the doctor would lay out the money and Medicare would reimburse him.

The doctor isn't willing to do this (I don't blame Him) because,

Medicare takes it's time in paying their bills.

My pharmacy would do the supply and bill but, the Xolair cannot be

sent to the pharmacy. It can only be sent to a hospital and

hospitals are not willing to lay out the money. The vendor who was

sending the Xolair to my doctor will only send it if it can bill an

insurance company or Medicare. The insurance company is out of the

picture now because their not my primary now.

Does any one have a solution?

Thanks a lot,

kathy

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