Third-party payers, including HMO plans, managed care organizations, indemnity plans and others provide coverage for
XELODA. XELODA is eligible for Medicare Part B coverage in oncology.
XELODA is eligible for Part B Medicare coverage in oncology
According to 2006 Centers for Medicare & Medicaid Services (CMS) guidance, XELODA continues to be eligible for Part B
coverage in oncology. The patient co-payment responsibility remains 20% of the total billed amount. Claims should
continue to be submitted to the appropriate Medicare Contractor for processing
Reimbursement
The Roche Oncoline Patient Assistance Program offers assistance to patients who have no prescription coverage or have
reached their cap and meet specific income guidelines. Contact the program for more information and an application.
For answers to your BILLING, REIMBURSEMENT, and COVERAGE POLICY QUESTIONS, ONCOLINE Reimbursement Hotline can help!
Roche Oncoline Patient Assistance Program
Phone: 1-800-443-6676 Option 3
Any coding, coverage or payment information contained herein is gathered from various resources and is subject to change without notice.
Roche cannot guarantee success in obtaining third-party insurance reimbursement. Third-party payment for medical products and services
is affected by numerous factors. It is always the provider's responsibility to determine and submit the appropriate codes, charges and
modifiers for services that are rendered. Providers should contact third-party payors for specific information on their coding,
coverage and payment policies.