Insulin Saving Model NEW for 2021

Making Insulin More Affordable for People with Medicare More than 3.3 million people with Medicare use one or more of the common forms of insulin every day. Unfortunately, the cost of insulin has nearly tripled over the past ten years, from about $100 to $300 a vial, and out-of-pocket costs for the drug for people with Medicare can significantly fluctuate from month to month, making budgeting and management of a person’s diabetes more difficult. Starting October 15, 2020, people with Medicare will be able to enroll in a Medicare drug plan that offers insulin for no more than a $35 copay for a month’s supply. Coverage will begin on January 1, 2021. While all plans that are participating in Medicare’s new “insulin savings model” guarantee that your cost-sharing is capped at $35 for a month’s supply of insulin, some plans may offer even lower copays. Participating plans cover different types and brands of insulin, and it’s important to check each plan’s formulary to find out your exact cost, starting in the deductible phase, and going through the initial coverage, and coverage gap phases of your Medicare drug benefit. By enrolling in a participating plan, people with Medicare may save hundreds of dollars per year on your out-of-pocket costs for insulin, and you’ll always know exactly what you’ll be paying each



Medicare Part D Open Enrollment Resources

As you begin to educate your residents regarding the open enrollment period to review and select their Part D plans, Partner Care Pharmacy has useful tools to share. Also, Starting October 15, 2020 Medicare beneficiaries will be able to enroll in a Medicare drug plan that offers insulin for no more than $35 copay per month.  For those residents currently on insulin therapies it is important to review that coverage. Go to this website to log-in and compare Part D plans.  Have your list of medications available before you log-in. Click the links below for Medicare Part D resources Open Enrollment Video Medicare Open Enrollment flyer – English Medicare Open Enrollment flyer – Spanish 2021 Insulin Saving Model – FAQ