I take Insulin. What does Medicare cover?

If you have diabetes, Medicare Part D covers these items.

• Injectable insulin that isn't used with a traditional insulin pump
• Insulin used with a disposable insulin pump.
• Certain medical supplies are used to inject insulin, like syringes, gauze, and alcohol swabs.
• Insulin: Medicare Part D covers insulin and other injectable diabetes medications that require a prescription.
• Oral medications: Part D also covers some oral medications used to treat diabetes, including metformin, sulfonylureas, and DPP-4 inhibitors.
• Blood glucose monitors: Medicare Part D covers blood glucose monitors, test strips, and lancets for self-testing of blood sugar levels.
• Insulin pumps: Medicare Part D also covers insulin pumps and related supplies, including insulin infusion sets and reservoirs.
• Glucagon: Part D covers the hormone glucagon, which is used to treat severe hypoglycemia (low blood sugar) when it cannot be treated with food or drink.
• Medical nutrition therapy: Medicare Part D covers medical nutrition therapy (MNT) services for people with diabetes, including counseling and education on how to manage their diet to control blood sugar levels.

The cost of a one-month supply of each type of Part D-covered insulin is capped at $35, and you don't have to pay a deductible for insulin. This applies to everyone who takes insulin, even if you get Extra Help. If you get a 60-day or 90-day supply of insulin, your costs can't be more than $35 for each month's supply of each covered insulin. For example, if you get a 60-day supply of Part D-covered insulin, you'll generally pay no more than $70.

It's important to note that not all Medicare Part D plans cover these items in the same way. The cost and coverage may vary depending on the plan you choose. Before enrolling in a plan, it's important to review the plan's formulary and other details to ensure that it meets your specific needs.

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