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What Does Medicare Cover for Parkinson's?

What Medicare does cover for Parkinson's includes certain therapies, scans, medical equipment, and more!

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If you’re concerned about Parkinson’s disease, you’ve probably done some research on the estimated cost of care — and you might be more than a little alarmed. The good news: Medicare may help ease the financial burden by lowering your treatment costs and improving your quality of life.

A broad range of services, including occupational, physical and speech therapy, as well as medications and hospital stays, are typically considered medically necessary for this condition and can be covered by Medicare. 

Let’s take a closer look at what Medicare does cover for Parkinson’s.

Understanding Parkinson’s Disease

Parkinson’s is a neurodegenerative disorder that primarily affects movement but can also affect cognition (i.e., the way you think). Nearly 1 million Americans are living with Parkinson’s disease, a figure expected to climb to 1.2 million by 2030. If you’re at risk of developing Parkinson’s, keep an eye out for its four main symptoms :

  • Tremor (trembling) in hands, arms, legs, jaw or head

  • Stiffness of the limbs and trunk

  • Slowness of movement

  • Impaired balance and coordination

Because Parkinson’s is a chronic condition with no cure, treatment focuses on managing or reducing symptoms. Your doctor might prescribe medications, therapy, surgery or a combination of these approaches.

Living with Parkinson’s comes with a hefty price tag: The Parkinson's Foundation estimates that the combined direct and indirect cost (including treatment, Social Security payments and lost income) is almost $52 billion annually for the U.S. alone. Parkinson’s medications average about $2,500 per patient each year, and therapeutic surgery can cost up to $100,000. Given all this, what does Medicare cover for Parkinson’s disease?

What Does Medicare Part A Cover?

Inpatient hospital stays covered by Medicare Part A may have higher costs for Parkinson’s patients. This form of Medicare coverage may also cover up to 100 days in a skilled nursing facility, which could be useful if you are recovering from a Parkinson’s-related fall, for example, and are well enough to leave the hospital but still require medical supervision as you recover.

Surgery would also be considered under Medicare Part A.

What Does Medicare Part B Cover?

Any outpatient treatments, such as doctor’s visits, lab work and single-day procedures, would fall under Medicare Part B. For Parkinson’s patients, this could include:

Medicare Part B might also cover parts of Duopa therapy , an innovative procedure used to treat motor symptoms in advanced Parkinson’s. In this procedure, medication is delivered through a tube directly into the patient’s intestine. Medicare Part B may cover the cassettes used for the Duopa pump or imaging needed for the Duopa procedure. 

What Medications Does Medicare Part D Cover for Parkinson’s?

Medicare Part D does cover medication that may treat Parkinson’s. For example, cardidopa and levodopa help alleviate tremors, stiffness and movement difficulties. These medications work together to raise your body’s levels of dopamine, a neurotransmitter that sends signals to the area of the brain responsible for movement. (Parkinson’s symptoms result from low dopamine levels .)

Medicare Part D might also cover drugs used during “off” periods for Parkinson’s — those times between regular treatment doses when tremors and other symptoms may return.

Medication can help people with Parkinson’s better manage symptoms , and a Part D plan can help cover this cost.

What Else Can Help With Parkinson’s Costs?

A Medicare Supplement — or Medigap — plan (such as Plan G), may pay 100% of your Part A coinsurance and hospital costs, as well as 100% of Part B coinsurance and copayments. All Medigap plans are different, with some paying deductibles and other excess charges. Talk with your healthcare provider to determine your needs.

To learn more about the right coverage for you, call 1-833-463-3262, TTY 711 to speak with a licensed agent at Senior Healthcare Direct.

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LEGAL DISCLAIMER: The above is meant to be strictly educational and not intended to provide medical advice or solicit the sales of an insurance product or service of any kind.