Medicare and Insulin

Your costs in Original Medicare:
The one-month supply of each Part D-covered insulin is capped at $35, and you don’t have to pay a deductible for insulin. This applies to everyone who takes insulin, even if you get Extra Help. If you get a 60- or 90-day supply of insulin, your costs can be at most $35 for each month’s supply of each covered insulin. For example, if you get a 60-day supply of Part D-covered insulin, you’ll generally pay at most $70.

Medicare Part B (Medical Insurance) doesn’t cover these:
– Insulin (unless use of an insulin pump is medically necessary)
– Insulin pens
– Syringes
– Needles
– Alcohol swabs
– Gauze

Medicare Part D covers these:
– Injectable insulin that isn’t used with a traditional insulin pump
– Insulin used with a disposable insulin pump
– Certain medical supplies used to inject insulin, like syringes, gauze, and alcohol swabs