Your expenses under Original Medicare:
A single month’s supply of insulin covered by Part D is limited to a cost of $35, with no deductible required for the insulin. This benefit is extended to all individuals on insulin, including those receiving Extra Help. For supplies extending over 60 or 90 days, your out-of-pocket expenses are restricted to a maximum of $35 per month for each insulin type covered. As an illustration, if you’re obtaining a 60-day supply of insulin that Part D covers, you will typically incur no more than $70.
Medicare Part B (Medical Insurance) does not extend coverage to the following items:
– Insulin (except when an insulin pump is deemed a medical necessity)
– Devices for insulin injection like pens
– Injecting tools such as syringes
– Injecting needles
– Pads soaked in alcohol for sterilization
– Surgical cotton
Medicare Part D provides coverage for the following:
– Insulin that’s injectable and not intended for use with a traditional insulin pump
– Insulin compatible with a one-time-use insulin pump
– Specific supplies needed for insulin administration, such as syringes, surgical cotton, and alcohol-soaked pads
