Medicare Part D Insulin Savings Program

Jan 29, 2021

Insulin savings through the Part D Senior Savings Model Starting January 1, 2021, you may be able to get Medicare drug coverage that offers broad access to many types of insulin for no more than $35 for a 30-day supply. You can get this savings on insulin if you join a Medicare drug plan or Medicare Advantage Plan with drug coverage that participates in the insulin savings model. This model lets you choose among drug plans that offer insulin at a predictable and affordable cost.

Things to know Part D covers these: Injectable insulin that’s not used with an insulin pump Certain medical supplies used to inject insulin, like syringes, gauze, and alcohol swabs However, if you use an external insulin pump, Part B may cover insulin used with the pump and the pump itself as durable medical equipment (DME). If you live in certain areas of the country, you may have to use specific pump suppliers for Medicare to pay for an insulin pump. Ok so what does this mean to you if you are on insulin? Not all insurance carriers are participating or have plans nationwide offering these benefits, so you will need to research your plan options to see who indeed is offering these benefits.  Select insulins include all Tier 2 and Tier 3 insulins found on the list of covered drugs for each participating MAPD plan or prescription drug plan. They include at least 1 each of rapid-acting, short-acting, intermediate-acting, and long-acting insulin vials and pens. If you have questions about the insulin savings program or how you may be able to reduced you out of pocket drug cost, email medicare@ or call my office 631-358-5793