Medicare Coverage for Jardiance: A Question Worth Exploring
Jardiance on Medicare: Breaking Down the Costs
Jardiance, a med for heart failure and type 2 diabetes, is commonly covered under Medicare. Here's a breakdown of what you may expect in terms of costs.
What's the Price Tag for Jardiance on Medicare?
A 30-day supply of Jardiance without specific insurance coverage could set you back around $600, but this can vary based on the Medicare Part D plan and pharmacy used. Keep in mind that Jardiance, being a brand-name drug, tends to fall into a higher tier, leading to higher copayments or coinsurance compared to generic drugs.
Saving Bucks: Financial Assistance Programs
To help lower those expenses, look into the following programs:
- Patient Assistance Programs (PAPs): Some drug manufacturers like Boehringer Ingelheim and Eli Lilly, the creators of Jardiance, offer PAPs for eligible patients. These programs could significantly cut or even eliminate out-of-pocket costs for meds like Jardiance. Eligibility criteria vary, but often they consider your income level.
- Medicare Part D Low-Income Subsidy (LIS): If you're a low-income Medicare beneficiary, this program can assist with Part D premiums, deductibles, copays, and coinsurance, reducing your monthly premium and out-of-pocket costs for prescription drugs.
- State Pharmaceutical Assistance Programs (SPAPs): Certain states offer additional help with prescription drug costs for Medicare beneficiaries. Criteria vary by state.
- Medicare Advantage Plans: Comparing Medicare Advantage plans may reveal ones offering extra benefits or discounts on prescription drugs, including Jardiance.
- Non-Profit Organizations: Organizations like the Patient Access Network (PAN) Foundation or the National Patient Advocate Foundation (NPAF) provide financial assistance to those who can't afford their medications. Eligibility criteria and application processes may apply.
Investigating these options could help reduce out-of-pocket costs for Jardiance and other prescription medications.
Terminology:
- Out-of-pocket cost: The amount you pay when Medicare doesn't cover the total cost or provide coverage. This could include deductibles, coinsurance, copayments, and premiums.
- Premium: The monthly amount you pay for Medicare coverage.
- Deductible: An annual amount you must spend out-of-pocket before Medicare starts covering your treatments.
- Coinsurance: The percentage of treatment costs you self-fund after meeting your deductible. For Medicare Part B, coinsurance is 20%.
- Copayment: A fixed dollar amount you pay when receiving certain treatments, usually applicable to prescription drugs under Medicare.
Now you're better informed about Jardiance costs on Medicare and ways to save. Keep exploring to make the most of your coverage.
- Jardiance, a medication for heart failure and type 2 diabetes, is often covered under Medicare, but a 30-day supply without insurance may cost around $600, depending on the Medicare Part D plan and pharmacy used.
- To lower expenses for Jardiance and other prescriptions, patients can investigate financial assistance programs such as Patient Assistance Programs (PAPs) offered by drug manufacturers, the Medicare Part D Low-Income Subsidy (LIS), State Pharmaceutical Assistance Programs (SPAPs), Medicare Advantage Plans, and non-profit organizations like the Patient Access Network (PAN) Foundation or the National Patient Advocate Foundation (NPAF).
- PAPs could potentially eliminate out-of-pocket costs for meds like Jardiance, while the Medicare Part D Low-Income Subsidy (LIS) helps with Part D premiums, deductibles, copays, and coinsurance for those with lower incomes.
- State Pharmaceutical Assistance Programs (SPAPs) offer additional help with prescription drug costs for Medicare beneficiaries, with criteria varying by state.
- Comparing Medicare Advantage plans may reveal ones with extra benefits or discounts on prescription drugs, including Jardiance.
- Non-profit organizations like the Patient Access Network (PAN) Foundation or the National Patient Advocate Foundation (NPAF) provide financial assistance for those who can't afford their medications; however, eligibility criteria and application processes may apply.
