What Medications are covered under Part B?
Certain types of medications fall under Medicare Part B instead of Part D. If you have original Medicare with a traditional supplement, these medications will generally be fully covered. If you have opted for a Medicare Advantage plan, you will pay the plan’s coinsurance as outlined in their benefit summary. With many Medicare Advantage plans, this might be a 20% cost-share for you, but your Part B spending will count toward your plan’s out-of-pocket maximum.
The primary categories of prescriptions that sometimes fall under Part B are:
- Drugs provided in a physician’s office, such as chemotherapy medications
- Medications administered via durable medical equipment, such as nebulizers or internal or external pumps
- Immunosuppressive meds – commonly given after an organ transplant
- Some oral cancer or related anti-nausea medications that you administer to yourself
- Some medications that treat End-Stage Renal Failure – an example would be Erythropoietin
- Drugs delivered in a hospital outpatient care situation
- Vaccines ordered by a physician, such as pneumonia or hepatitis vaccines
- Blood clotting factors
- Diabetes supplies – lancets, test strips, glucose monitors
Learn More: Are Vaccines Covered by Medicare Part D?
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