Medicare Part D New Update - Medicare Part D insulin coverage changes
The cost of a one-month supply of each 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 someone who gets Extra Help. If someone gets a 60- or 90-day supply of insulin, costs
can't be more than $35 for each month's supply of each covered insulin. For
example, if someone gets a 60-day supply of Part D-covered insulin, you'll
generally pay no more than $70. Other questions about insulin
coverage?
Plans have until the end of March 2023 to update their
systems to reflect the $35 cap on insulin, which means you might be charged a
higher amount during this time when you fill a prescription for insulin. If you
pay more than $35 for a month’s supply of a covered insulin product in January
and/or February 2023, your plan must reimburse you within 30 calendar days for
any amount you paid above the $35 cap. Contact your plan to find out how to get
reimbursed.
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