Medicare Part D Savings Model Caps Insulin Copays

The Centers for Medicare and Medicaid Services (CMS) has created the Part D Senior Savings Model for the 2021 plan year.

Under this model, participating enhanced Part D prescription drug plans, as well as Medicare Advantage plans, with prescription coverage will provide Medicare beneficiaries access to a broad set of insulins at a maximum copay of $35 for a month’s supply from the beginning of the year straight through the Part D coverage gap.

Additional Resources:

• Information on the Part D Senior Savings Model, 
• Insulin Savings Program materials.
• A list of participating plans.