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The Part D Senior Savings Model—which CarePlus calls the Insulin Savings Program—helps address the needs of the more than 3.3 million people with Medicare who use insulin.1 The program is available with certain Medicare Advantage plans.
Eligible members* pay stable copays of $35 or less at all in-network pharmacies for a 30-day supply of covered PDFSelect Insulins(PDF opens in new window) through the coverage gap (often called the “donut hole”). Those savings can add up for an average projected annual savings of $446 (66%) per year on Select Insulin costs.2†
While the maximum copay for each Select Insulin is $35 (for up to a 30-day supply from an in-network pharmacy), some plans feature copays as low as $0 for up to a 30-day supply. See the Summary of Benefits and Evidence of Coverage for each plan for specific copays.
To learn more about the Part D Senior Savings Model—which CarePlus calls the Insulin Savings Program, please visit the “Part D Senior Savings Model,” Centers for Medicare and Medicaid Services at https://www.cms.gov/newsroom/fact-sheets/part-d-senior-savings-model(opens in new window) .
†Not all CarePlus plans are participating in the Insulin Savings Program. Members who receive prescription drug assistance through Medicare’s Extra Help program are not eligible. Part B insulin (pumps) are not included in this Part D benefit.