PAN Works to Lengthen Exceptions to Medicare Remedy Caps

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The Parkinson’s Motion Community (PAN) joined along with different main affected person advocacy and supplier teams at a press convention urging Congress to increase exceptions to Medicare treatment caps and in the long run repeal the treatment caps.  The clicking convention was once hosted by means of the Remedy Cap Coalition, of which PAN is a member.  John Schall, PAN Deputy Leader Govt Officer, spoke on the press convention, noting the toll the treatment caps have on folks residing with Parkinson’s and different illnesses.

“For Parkinson’s, treatment is actually a life-saver,” mentioned Schall.  “We’re speaking about treatment that each supplies worthwhile advantages to a affected person’s way of living and does so in a cheap means.”

The Medicare treatment caps are limits at the quantity of outpatient bodily, speech, and occupational treatment a Medicare beneficiary can obtain every calendar 12 months.  For 2010, Medicare will duvet a blended treatment cap of $1,860 for outpatient bodily treatment and speech language pathology products and services, and a separate cap of $1,860 for outpatient occupational treatment products and services.  As soon as the prohibit of $1860 has been reached, beneficiaries who require further products and services in a 12-month length are accountable for 100% of the price.  In 2006 Congress created an exceptions procedure that permits get entry to to medically essential products and services with out further prices.

“We’re speaking about numerous sufferers,” Schall added.  “We estimate a half-million Medicare sufferers residing with Parkinson’s, and in 2006, virtually 26% of beneficiaries recognized with Parkinson’s surpassed the cap threshold.”

Congress allowed the exceptions procedure to run out on December 31, 2009 and subsequently the cap prohibit of $1,860 went into impact on January 1, 2010.  In an overly arduous fought victory, on March 2, Congress prolonged the Medicare treatment cap exceptions procedure via March 31, 2010 and retroactively to January 1, 2010.  Sadly, that is just a transient repair.  Further Congressional motion can be had to make certain that the exceptions procedure is to be had to folks residing with Parkinson’s on April 1, 2010 when the present extension expires.  PAN will paintings in coalition for an everlasting repeal of the Medicare Remedy Caps.

Please keep tuned for updates as this necessary factor continues to transport ahead.