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My Medicare Matters—Insulin and Deductible changes for 2023!

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The annual Part D Deductible for 2023 may be as high as $505 for some Medicare Part D or Medicare Advantage with Part D drug plans. In 2022, the highest deductible was $450.

An exciting change for 2023 is that the annual deductibles can no longer be charged against insulins.

A regulation passed in July 2022 which restricts part D and Medicare Advantage plans with Prescription coverage to charge no more than $35 per brand of insulin refill per month. Plans do not have to include every insulin brand on their formularies, but the ones they do include cannot cost more than $35 per refill. Non-insulin diabetes injectable medications are NOT included in this $35 rate, so the one-a-week shots aren’t included. 

The regulation is so new that the Medicare.gov website programmers haven’t caught up yet, so prices reflected at the website are still showing full prices. This fall, Medicare.gov is best used to just verify which insulins are covered by which plans, and know that each insulin will run $420 for the entire year. 

Your current part D plan can tell you if your current brands of insulin are on their $35 list, or you can check at medicare.gov. 

MMAP may still have appointment slots for plan reviews. MMAP Benefits counseling is done by appointment only. Please phone to set your appointment. 

Battle Creek CareWell Services Kool Center 800-803-7174, 

Marshall Calhoun County Senior Services 269-781-0846

Albion-Forks Senior Center 517-629-3842

Albion Health Care Alliance 517-629-6578

Barry Commission on Aging, Hastings 269-948-4856

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