Part D

I am currently enrolled in a Medicare Part D plan and I take insulin. Is there a way for me to lower my out-of-pocket costs for insulin?

Yes, some Part D plans cover certain insulin products for a flat monthly copayment of $35. You can use the Medicare Plan Finder to identify Part D plans in your area that are participating in this flat copayment program for insulin products. If your current Part D plan is participating in this program, check to make sure that your plan is covering the insulin product you take for the flat $35 copayment. If your current plan is not participating in this program, you have the option to switch to a plan that is participating, although you may have to pay a higher monthly premium. Before switching plans, check to see what your coverage and out-of-pocket costs would be for other drugs you might take besides insulin.

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While we have made every effort to provide accurate information in these FAQs, people should contact the health insurance Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

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