Types of non-insulin prescription drugs to take managing diabetes

Are other types of non-insulin prescription drugs that I can take to manage diabetes included in the $35 monthly cap? Unfortunately, as of 3/27/2023, the answer is No, but you should always check with your physician's office to confirm. Regulations and guidelines change all the time.

The monthly $35 cap referred to is related to the cost of insulin for Medicare beneficiaries enrolled in certain Medicare drug plans. Other types of non-insulin prescription drugs used to manage diabetes, such as oral medications like metformin or injectable medications like GLP-1 receptor agonists, are not subject to this $35 cap as of 3/27/2023.

However, some Medicare Supplement drug plans may provide coverage for these other types of diabetes medications, subject to their own formularies and coverage rules. It is important to review your specific Medicare Supplement drug plan to determine what medications are covered and what the associated costs may be.

In addition, some Medicare beneficiaries may be eligible for financial assistance to help cover the cost of their diabetes medications, such as through the Medicare Extra Help program or other state or federal assistance programs. It is important to explore all available options for assistance in order to minimize out-of-pocket costs for necessary diabetes medications.

MedHelpCenter.us recommends that you call the Senior Health Insurance Agency at 813-592-8568 for further explanation.