If you use insulin, here’s good news that’s easy to miss: under Medicare, your cost for a one-month supply of each covered insulin is capped at $35 — and there’s no deductible to meet first. That applies whether you get your insulin through a Part D drug plan or a Medicare Advantage plan with drug coverage.
What this means in practice
- You pay no more than $35 per covered insulin, per month
- The cap applies before you’ve met any plan deductible
- It covers insulin used with a traditional pump in many cases as well
The key word is covered — each plan has its own formulary, so it’s worth confirming that the specific insulin you use is on your plan’s list at the $35 price.
Want to double-check yours? Use the Formulary Lookup tool, or send us your medications for a free prescription review. If your insulin isn’t covered the way it should be, a different Part D plan may fit better — reach out and we’ll take a look together.