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?

Beginning in 2023, all Part D plans are required to charge no more than $35 per month for whatever insulin products they cover. You should check to make sure that your plan will continue to cover the insulin product you are taking, since insulin products that are not covered by a plan are not subject to the $35 copay maximum. If your insulin product will not be covered, you can switch plans during the Medicare Open Enrollment period that runs from October 15 to December 7. Before switching plans, check to see what your coverage and out-of-pocket costs would be for other drugs you might take besides insulin.

Topics

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.

KFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KFF | twitter.com/kff

The independent source for health policy research, polling, and news, KFF is a nonprofit organization based in San Francisco, California.