For Medicare beneficiaries seeking treatment for cancer, knowing that you have coverage can offer peace of mind amidst very challenging times. Medicare will offer coverage for Opdivo, but there are some plans that will lead to more out-of-pocket costs than others. Let's talk through your Medicare coverage options.
Opdivo is a prescription medication used to treat certain types of cancer. It works by blocking the activity of an enzyme called PD-1 which helps the body’s immune system recognize and attack cancer cells. By blocking this enzyme, Opdivo can help the body’s own immune system fight off cancer.
Doctor's may prescribe Opdivo to treat the following conditions:
Melanoma
Non-small cell lung cancer (NSCLC)
Urothelial carcinoma
Kidney cancer
Head and neck squamous cell carcinoma
Opdivo is administered intravenously and may be given in combination with other treatments such as chemotherapy or radiation.
If you are receiving Opdivo in an in-patient setting, Medicare Part A will cover your treatment costs. In this instance, you will be responsible for paying the Part A deductible for each benefit period.
If you are receiving Opdivo in an out-patient setting, then Medicare Part B will cover the costs of your treatment. In this instance, you will be responsible for 20% coinsurance, and potentially copays as well.
Opdivo is not covered by Part D, because it is only administered intravenously. However, Part D covers some medications that may be related to your cancer treatment and can help reduce out-of-pocket costs.
To get the most protection against out-of-pocket expenses when paying for a treatment option like Opdivo, you should probably be on Medicare Supplement Plan G
Opdivo can cause some side effects when used in the treatment of cancer. These may include nausea, fatigue, rash, diarrhea, fever, and chills. Other more serious side effects can occur, including an increased risk for lung inflammation or pneumonitis.
When it comes to Medicare coverage, it's important to know your options. With the right plan, you can get the most protection against out-of-pocket expenses associated with treatments like Opdivo. Be sure to speak with your doctor when considering treatment options. This content is for informational purposes only. And if you need to speak with a Medicare expert, give us a call at 888-376-2028.
How Does Medicare Cover Colonoscopies?
Dec 27, 2022
Finding the Best Vision Plans for Seniors
Jan 6, 2023
How Do I Sign up for Medicare? A Simple How-To Guide For You
Apr 8, 2022
20 Questions to Ask Your Medicare Agent
Mar 17, 2023
Does Medicare Cover LVAD Surgery?
Nov 30, 2022
What is the Medicare ICEP?
Apr 7, 2023
Does Medicare Cover Cartiva Implants?
Nov 29, 2022
Saving Money with Alternative Pharmacies & Discount Programs
Feb 1, 2024
Does Medicare Cover Scleral Lenses?
Dec 5, 2022
Does Medicare Cover PTNS?
Dec 9, 2022
Medicare Explained
Jan 3, 2022
Does Medicare Cover Vitamins?
Dec 5, 2022
Explaining IRMAA on Medicare
Dec 21, 2022
What to Do When Your Doctor Doesn't Take Medicare
Feb 24, 2023
Finding the Best Dental Plans for Seniors
Jan 4, 2023
Does Medicare Cover Penile Implant Surgery?
Dec 9, 2022
Does Medicare Cover Diabetic Eye Exams?
Jan 11, 2023
Does Medicare Cover Cosmetic Surgery?
Nov 28, 2022
14 Best Ways for Seniors to Stay Active in Nashville
14 Best Ways for Seniors to Stay Active in Seattle
2024 Fair Square NPS Report
Are Medicare Advantage Plans Bad?
Building the Future of Senior Healthcare
Can Doctors Choose Not to Accept Medicare?
Can I Change My Primary Care Provider with an Advantage Plan?
Can I Choose Marketplace Coverage Instead of Medicare?
Can I Laminate My Medicare Card?
Can I switch From Medicare Advantage to Medigap?
Can I Use Medicare Part D at Any Pharmacy?
Can Medicare Advantage Plans be Used Out of State?
Can Medicare Help with the Cost of Tyrvaya?
Costco Pharmacy Partners with Fair Square
Does Medicare Cover Air Purifiers?
Does Medicare Cover an FMT?
Does Medicare Cover Bladder Sling Surgery?
Does Medicare Cover Cataract Surgery?
Does Medicare Cover Chiropractic Visits?
Does Medicare Cover Compounded Medications?
Does Medicare cover Deviated Septum Surgery?
Does Medicare Cover Disposable Underwear?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Fosamax?
Does Medicare Cover Geri Chairs?
Does Medicare Cover Hepatitis C Treatment?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Inqovi?
Does Medicare Cover Kidney Stone Removal?
Does Medicare Cover Krystexxa?
Does Medicare Cover Kyphoplasty?
Does Medicare Cover Medical Marijuana?
Does Medicare Cover Oxybutynin?
Does Medicare Cover Physicals & Blood Work?
Does Medicare Cover Piqray?
Does Medicare Cover Robotic Surgery?
Does Medicare Cover Service Animals?
Does Medicare Cover Stair Lifts?
Does Medicare Cover the WATCHMAN Procedure?
Does Medicare Cover Tymlos?
Does Medicare Cover Urodynamic Testing?
Does Medicare Pay for Antivenom?
Does Medicare Require a Referral for Audiology Exams?
Does Retiring at Age 62 Make Me Eligible for Medicare?
Does Your Medicare Plan Cover B12 Shots?
Does Your Plan Include A Free Gym Membership?
How Can I Get a Replacement Medicare Card?
How Medicare Costs Can Pile Up
How Much Does Rexulti Cost with Medicare?
How Much Does Trelegy Cost with Medicare?
How to Apply for Medicare?
How to Compare Medigap Plans in 2025
How to Deduct Medicare Expenses from Your Taxes
How to Enroll in Social Security
Is Balloon Sinuplasty Covered by Medicare?
Is Botox Covered by Medicare?
Is Emsella Covered by Medicare?
Is Fair Square Medicare Legitimate?
Is HIFU Covered by Medicare?
Last Day to Change Your Medicare Part D Plan
Medicare Advantage Plans for Disabled People Under 65
Medicare Deductibles Resetting in 2025
Medigap vs. Medicare Advantage
Moving? Here’s What Happens to Your Medicare Coverage
The Easiest Call You'll Ever Make
Welcome to Fair Square's First Newsletter
What Are Medicare Part B Excess Charges?
What is a Medicare Beneficiary Ombudsman?
What Is the Medicare Birthday Rule in Nevada?
What To Do If Your Medicare Advantage Plan Is Discontinued
When Can You Change Medicare Supplement Plans?
When to Choose Medicare Advantage over Medicare Supplement
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
MULTIPLAN_FairSquareMedicare_01062022_M
Fair Square Medicare