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How much will I pay for insulin on Medicare?

Your out-of-pocket cost is capped: on a Medicare drug plan, you pay no more than $35 for a month's supply of each covered insulin.

More detail

Say you use insulin pens every day. On a Medicare drug plan, each covered insulin costs you no more than $35 for a one-month supply, and you don't have to meet a deductible for it first. Part D also covers certain supplies used to inject insulin, like syringes, gauze and alcohol swabs.

If you use a traditional insulin pump, that's covered under Part B instead, and similar cost limits apply to the insulin used in it.

Watch out for this: the cap applies to insulin your plan covers. Covered insulin products are on the plan's drug list, so check that your exact insulin is on it before you choose a plan.

What to have ready: • The name and form of each insulin you use (pen, vial or pump) • Your other medicines and your pharmacy

If you'd like, I can check your insulin against the plans in your area.

David Ray
Answered by David Ray
Licensed insurance agent, DSR Insurance Group · NPN 16329713

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