Medicare Coverage for Jardiance: A Review
Jumping Straight to the Point with Jardiance:
Jardiance is a medication that doctors prescribe to treat heart failure and type 2 diabetes. Most Medicare Part D prescription drug plans include coverage for Jardiance. Here's what you need to know about its cost and coverage with Medicare.
Moolah Matters: How Much Does Jardiance Cost on Medicare?
Well, the retail cost for 30 tablets of Jardiance lies around $600, but that's without any insurance assistance. The share of that cost a person may pay depends on their insurance plan and the tier Jardiance is placed in. His or her coinsurance, monthly premiums for Parts C and D, and any deductibles also factor in.
A typical Medicare enrollee paid around $290 out of pocket for Jardiance in 2022. While that's helpful, you shouldn't expect the same figure every year as costs may vary.
Terminology 101: Medicare Glossary
- Out-of-pocket cost: Amount you pay when Medicare doesn't cover the total amount or doesn't offer coverage. Costs can include deductibles, coinsurance, copayments, and premiums.
- Premium: Amount of money someone pays each month for Medicare coverage.
- Deductible: Annual amount you must spend out of pocket within a certain period before Medicare starts funding your treatments.
- Coinsurance: Percentage of treatment costs you must self-fund. For Medicare Part B, coinsurance is 20%.
- Copayment: Fixed dollar amount a person with insurance pays when receiving certain treatments. For Medicare, this usually applies to prescription drugs.
What Tier is Jardiance with Medicare?
Every Medicare drug plan places Jardiance in a different tier, and the higher the tier, the more expensive it may be for you after coverage kicks in. The Inflation Reduction Act of 2022 even allowed the Secretary of Health and Human Services (HHS) to negotiate new prices for Jardiance and nine other drugs, making these drugs more affordable for enrollees.
Claiming Medicare Perks: Free Prescription Assistance Programs
While Jardiance can be a pricey pill, you can potentially lower your expenses by tapping into financial assistance programs like Medicaid, Extra Help, and State Pharmaceutical Assistance Programs (SPAPs).
Saving Cash: A Cheaper Substitute for Jardiance?
Unfortunately, Jardiance is not available as a generic version, so you might not find a cheaper substitute. However, generic drugs are usually more affordable than brand-name drugs.
Other Diabetes or Heart Disease Medications Covered by Medicare
Jardiance belongs to a class of drugs called SGLT2 inhibitors, which work in the kidneys to remove excess sugar from the body through urine. For your benefit, whether your plan covers Jardiance or any other heart disease drug, or drugs that treat diabetes, depends on the specific plan. Some examples of diabetes drugs that plans may cover include metformin, nateglinide, acarbose, and glyburide.
- The Inflation Reduction Act of 2022 has allowed the Secretary of Health and Human Services (HHS) to negotiate new, potentially more affordable prices for Jardiance and nine other drugs under Medicare's drug plans, as they may appear in different tiers and impact the out-of-pocket costs for Medicare enrollees.
- Enrollees looking to further reduce the expenses associated with Jardiance might find financial assistance through programs such as Medicaid, Extra Help, and State Pharmaceutical Assistance Programs (SPAPs), which are designed to help reduce the cost of health-and-wellness related expenses, including Medicare prescription drug costs.
- Although Jardiance is not available in a generic form, other heart disease medications and drugs that treat diabetes may be covered by Medicare, depending on the specific healthsystems and Medicare plan, making it essential to researchUncategorized drug coverage options for optimal health care.
