First, you could add Part D coverage to Medicare Parts A and B. Medicare has a plan finder that helps you pick the coverage that fits your goals and budget. You can search by zip code, input the prescription drugs you take, and provide your local pharmacy along with some other information. The plan finder will give you Part D coverage options including cost. Second, you can receive Part D coverage through a Medicare Advantage (Part C) or other Medicare health plan that offers prescription drug coverage as part of the plan. Although Part C coverage costs more than Medicare, without a supplement or other coverage like Medigap insurance, Medicare leaves a lot of coverage gaps that may leave you with medical bills that you're unable to pay. Most people elect to enroll in Part C coverage to protect against these costly expenses. Medicare Part D Cost If you elect to receive Part D coverage as part of Medicare, you will pay your portion of the monthly premium. This varies depending on your income and the plan you choose, but the nationwide base premium is $33.
Diagnosis Doctors may find chronic leukemia in a routine blood test, before symptoms begin. If this happens, or if you have signs or symptoms that suggest leukemia, you may undergo the following diagnostic exams: Physical exam. Your doctor will look for physical signs of leukemia, such as pale skin from anemia, swelling of your lymph nodes, and enlargement of your liver and spleen. Blood tests. By looking at a sample of your blood, your doctor can determine if you have abnormal levels of red or white blood cells or platelets — which may suggest leukemia. A blood test may also show the presence of leukemia cells, though not all types of leukemia cause the leukemia cells to circulate in the blood. Sometimes the leukemia cells stay in the bone marrow. Bone marrow test. Your doctor may recommend a procedure to remove a sample of bone marrow from your hipbone. The bone marrow is removed using a long, thin needle. The sample is sent to a laboratory to look for leukemia cells. Specialized tests of your leukemia cells may reveal certain characteristics that are used to determine your treatment options.