Frequently Asked Questions about Insulin and Diabetic Supplies

May, 18 2023 — Insulin products covered by a Medicare Part D plan will always cost $35 or less for a 30-day supply, but, in 2023, when purchased in the initial deductible, the deductible will be reduced by the insul . . .

Aug, 08 2023 — The Centers for Medicare and Medicaid Services (CMS) has recognized that some insulin delivery systems may now be covered by a Medicare Part D prescription drug plan when the devices are delivering in . . .

Aug, 08 2023 — Yes.  Under certain conditions, Medicare will cover a continuous glucose monitor (CGM) - and specifically notes: “If your doctor [primary care physician] determines that you meet all the . . .

Jul, 09 2023 — A Special Needs Plan (SNP) is a type of Medicare Advantage plan (MAPD) with healthcare benefits, provider choices, and drug formularies (list of covered drugs) designed for people who meet certain . . .

Jul, 11 2023 — No.  Your Medicare Part D prescription drug plan will not cover your glucose test strips - instead, diabetic test strips are covered by Medicare Part B as Durable Medical Equipment (DME). Howe . . .

Jul, 23 2023 — All Insulin products covered by your Medicare Part D drug plan will cost $35 or less for a 30-day supply. In 2023, the Inflation Reduction Act (IRA) introduces an insulin cost-saving provision - s . . .

Sep, 22 2023 — Yes.  The Inflation Reduction Act (IRA) requires that a 30-day supply of any insulin product on a 2024 Medicare Part D prescriptions drug plans formulary is covered at a maximum $35 co-pay throu . . .

May, 04 2023 — First available in 2021, the Medicare Part D  "Senior Savings Model" (SSM), is a voluntary program where stand-alone Medicare Part D plans (PDPs) and Medicare Advantage plans with drug coverage . . .