Medicare coverage for erectile dysfunction prescriptions may have coverage under Part D. Most brand name medications for erectile dysfunction, such as Viagra, Cialis, and Levitra, are not covered under Part D. However, the generic versions have some coverage. Some Medicare Advantage plans that include prescription drug coverage cover the brand name medications for erectile dysfunction. We’ll cover this in detail below.
Does Medicare Cover Viagra?
The retail cost of Viagra can be very expensive. Part D plans do not cover Viagra. However, Part D does cover some generic versions, such as Sildenafil. You’ll need to take a close look at your plans’ drug formulary to see if the generic version is included and how much it will cost out of pocket. Some MAPD plans cover both Viagra and the generic versions. The drug class is a PDE-5 inhibitor.
Does Medicare Cover Cialis?
Does Medicare Cover Levitra?
How Much Do Erectile Dysfunction Drugs Cost with Medicare?
When choosing which medication is right for you, the price can play a significant role. Not all erectile dysfunction drugs are the same. Ideally, you want a medication that works right for your body; what works for one person may not work for another. Unfortunately, health insurance restrictions is usually the final determining factor. Many insurance plans place restrictions on the number of pills a patient may receive each month. After reaching the limit amount, out-of-pocket costs for one tablet can be $20-$50.
Erectile dysfunction drug costs depend on the co-payment amount, health insurance coverage, plan type, and the pharmacy price. The national out-of-pocket cost per pill is generally $15-$20.
Does Medicare Cover Penile Implant Surgery?
Yes, Medicare covers penile implant surgeries. If it’s medically necessary, coverage includes all other Coloplast devices. Unless supplement insurance is in place, patients can expect to make payments of $2,500 – $3,000 for the procedure. Generally, this is an outpatient service, so Part B covers 80% of the allowable costs. The beneficiary is responsible for the remaining 20%. Part B also includes penile pumps and other devices like it.
Get Help with Medicare Coverage for Erectile Dysfunction (ED)
Medicare Supplements may help cover some of the out-of-pocket expenses for sexual health/dysfunction treatments. Starting with erectile dysfunction consultations to diagnose and adequately treat the individual.
If you’re looking for ways to help cover your out of pocket costs with Medicare, we can help. Our team of licensed agents specializes in all things Medicare. We’re happy to compare rates and answer any questions you may have about coverage – free of charge. Can’t call today? Fill out an online rate form and get the process started.