MEDICARE ANNUAL ENROLLMENT IS OPEN: OCTOBER 15-DECEMBER 7, 2024. CONTACT US TODAY TO ENROLL IN YOUR MEDICARE HEALTH PLAN!

M-F 8:30-4:30

info@fgiala.com

Medicare Lagniappe: Insulin

by | Dec 20, 2023

Medicare Part B (Medical Insurance) covers insulin if you use an insulin pump that’s covered under Part B’s durable medical equipment benefit. Part B doesn’t cover insulin pens or insulin-related supplies like:
  • Syringes
  • Needles
  • Alcohol swabs
  • Gauze
Part D covers these:
  • Injectable insulin that isn’t used with a traditional insulin pump
  • Insulin used with a disposable insulin pump
  • Certain medical supplies used to inject insulin, like syringes, gauze, and alcohol swabs
  • Insulin that’s inhaled

Your costs in Original Medicare

  • The cost of a one-month supply of each Part D- and Part B-covered insulin is capped at $35, and you don’t have to pay a deductible for insulin. If you get a 3-month supply of insulin, your costs can’t be more than $35 for each month’s supply of each covered insulin. This means you’ll generally pay no more than $105 for a 3-month supply of covered insulin.
  • Under Part D, the $35 cap applies to everyone who takes insulin, even if you get Extra Help.
  • If you have Part B and Medicare supplement Insurance (Medigap) that pays your Part B coinsurance, your plan should cover the $35/month (or less) cost for each covered insulin.
  • For insulin-related supplies (like syringes, needles, alcohol swabs and gauze), you’ll pay 100% of the cost under Part B (unless you have Part D).
More information at medicare.gov