Robin Gray8 said:Her oncologist actually gave her a solid lead regarding Medicare. Apparently, since they don't even perform this specific type of procedure here in the States, getting the approval should be a breeze. She’s planning to hand over all the paperwork and the formal proposal this coming Monday. 🤷
So, she hasn't received the green light yet. The Medicare Administration still needs to review everything and make an official call. You’ll likely end up with some sort of paperwork justifying why those out-of-country medical expenses are necessary. It really comes down to how much skin you have in the game: some people sit around waiting for that formal approval, while others just dive straight into treatment abroad. It all depends on what the international clinics are demanding and how much risk someone is willing to stomach if the Medicare folks decide to deny the claim later. As for how long this takes? Honestly, there's no telling. Given how messy and unpredictable these government agencies can be, anything goes.
George Sullivan31 said:Greetings.
My daughter is heading over to a clinic in Germany for some exams and treatment, so I’m trying to figure out if I can actually get any money back from Medicare. Does anyone know what specific costs the Medicare Administration will actually cover or reimburse?
Best regards,
George Sullivan31
If you're looking to get reimbursed for medical treatment abroad, you can only claim expenses for procedures or therapies that simply aren't available here in the States—whether that's because our doctors lack the specific expertise, the necessary technology, or some other specialized capability.
It usually plays out like this: some specialist at a government agency—not someone in private practice, but a bureaucrat—decides that a certain procedure just isn't feasible under our current system. You take your proposal to a family doctor, who then writes up the necessary paperwork, which eventually lands on a Medicare Administration committee desk to be either rubber-stamped or flat-out rejected.
I'm not entirely sure if that's the right direction to take, but your primary care physician should be able to give you a definitive answer.