In the past, patients with Medicare Only and Medicare Advantage plans were eligible to enroll in the Good Days program, a national non-profit charitable organization, which assisted with offsetting the cost of patient responsibility co-insurance for injections based on financial need. Unfortunately, Good Days has not received adequate funding to continue to aid all eligible patients.
As a result, unless there is additional funding received, moving forward patients will be responsible for their co-insurance deductible amount at the time of their visit. As participating providers in the Medicare program, Retina Consultants of NM is required by federal law to collect unmet deductible, and co-insurance amounts for Medicare and Medicare Advantage plan beneficiaries if you do not have a supplement plan.
For many patients currently receiving a branded drug for their treatments this could reflect an increase in patient responsibility. With retinal diseases, branded drugs have been shown to be more effective in some patients.
Retina Consultants of NM recognizes the importance of continued treatment for their patients and may be able to offer treatment with other medications.
Please do not stop treatment and continue to attend your appointments and speak to Dr. Roybal and Dr. Uzcátegui about your treatment options. You may also speak to our billing department about an existing balance.