Medicare Billing for Self-Administered Drugs
During the course of outpatient treatment, you may be given medication Medicare considers self-administered. Medicare defines these as medications the patient could, in another setting, take themselves, and may include tablets, drops, inhalants and some injectable drugs.
In order to remain compliant with Medicare regulations related to billing of these drugs, the hospital is required to submit these self-administered drugs as non-covered items on our billing to Medicare. Once Medicare (and any other insurers you may have), have made payment to us, you will receive a bill from HSHS St. John's Hospital. In addition to any deductible and co-insurance due, this bill will reflect the charges for unpaid self-administered drugs, and payment for these items is expected from the patient. Some Part D Plans may reimburse the patient for the self-administered drugs. You will need to contact your Part D carrier for information on how to submit a claim. Please contact Patient Financial Services with any questions.