You Can't Be Charged More For Insulin
Since January 1, 2023, Part D plans can’t charge you more than $35 for a one-month supply of Part D-covered insulin. You also don’t have to pay a deductible for you don’t have to pay a deductible Part D-covered insulin.
This rule applies even if you get more than one month’s supply at a time. For example, a 2- or 3-month supply will still only cost you $35 a month.
Although this rule went into effect in January of 2023, plans have until the end of March to update their systems. If you get charged more in this time our plan must reimburse you within 30 calendar days for any amount you paid above the $35 cap.
Citation: Saving money with the prescription drug law. Medicare.Gov.
Thomas DeMichele
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More Facts on Medicare
Your Drug Plan Can’t Charge More than $35 for a Month of Insulin
Since January 1, 2023, Part D plans can’t charge you more than $35 for a one-month supply of Part D-covered insulin. You also don’t have to pay a deductible for your insulin.
Some People Get Medicare Part A/B Automatically, but Many People Have to Sign Up
Most people are not automatically enrolled in Medicare Part A and Part B and have to sign up during their Initial Enrollment Period. The following are exceptions: If you’re already getting benefits from Social Security or the Railroad Retirement Board (RRB). If you’re under 65 and have a disability. If you have ALS (amyotrophic lateral sclerosis, also called Lou Gehrig’s disease). Meanwhile, Puerto Rico, has special rules for Medicare Enrollment.
Medicare Late Enrollment Penalties
Medicare Part A, Part B, and Part D all have late enrollment penalties for not signing up when you first become eligible. However, with Part A, penalties only apply to those who must pay a Part A premium. Please note each late enrollment penalty has its own rules.
Some Medicare Advantage Plans may include the Medicare Give Back Benefit.
Medicare Advantage plans in certain states and counties may include the Medicare Give Back Benefit. When you enroll in a Medicare Advantage plan that offers the Part B Give Back Benefit, the plan’s carrier will reimburse you for a portion of your monthly Part B premium via your Social Security check.