Medigap Drug Coverage FAQs
Medigap and Medicare Prescription Drug Coverage
Since today’s Medicare Supplement (Medigap) plans, do not include prescription drug coverage (except insulin ), you may need a separate Medicare Part D plan. If you delay purchasing a Part D drug plan, you could incur monthly late enrollment penalties.
Future Medigap Drug Coverage
Effective in 2026 , Medicare will be able to negotiate the price directly with drug manufacturers on the following brand-name Part B (Medigap) and Part D drugs:
Fiasp; Fiasp FlexTouch; Fiasp PenFill; NovoLog; NovoLog FlexPen; NovoLog PenFill
Furthermore, Medicare will select and negotiate costs on additional Part B and Part D drugs, including:
15 Part D drugs in 2025
15 Part B and Part D drugs in 2026
20 Part B and Part D drugs in 2027
20 Part B and Part D drugs in 2028 and every year after
Medigap Plans That Cover Insulin Costs
Effective January 1, 2023 , beneficiaries with Medicare Part B and a Medigap plan that pays Part B coinsurance now cover the $35 (or less) cost of insulin with an insulin pump . Furthermore, you don’t have to pay the Part B deductible for insulin. However, Part B does not cover insulin pens or insulin related supplies including:
All Medicare Supplement plans cover 100% of Part B coinsurance except Plan K (50%) and Plan L (75%). To shop Medigap plans, call Senior Healthcare Direct at 1-833-463-3262 and speak with a licensed agent. You can also get a quote.