CMS Announces Lower Out-of-pocket Expenses for Insulin

The Centers for Medicare & Medicaid Services (CMS) announced the Part D Senior Savings Model, a voluntary model that enables participating plans to lower Medicare beneficiaries’ out-of-pocket costs for insulin to a maximum $35 copay per 30-day supply throughout the benefit year.

Beneficiaries who take insulin and enroll in a Part D enhanced plan participating in the model should save an average of $446 in annual out-of-pocket costs for insulin, or over 66 percent (relative to their average cost-sharing for insulin on March 11). As beneficiaries have more consistent, predictable access to the prescription drugs they need, the model projects that health will improve and the total cost of care will decline for seniors in the United States.

Affordable insulin is important to the health of amputees who have already lost a leg to diabetes and who may be at risk for losing more of the same limb or their remaining leg to the disease.

IMAGE: SherryYoung/stock.adobe.com

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