Medicare Supplement Coverage for Eliquis Explained

Medicare Supplement plans can help cover some of the out-of-pocket costs associated with taking Eliquis, including copays and coinsurance.

Not all Medicare Supplement plans cover the same out-of-pocket costs, so it's essential to review your plan documents to understand what's covered.

Eliquis is a prescription medication used to prevent stroke and blood clots in people with atrial fibrillation.

Medicare covers Eliquis under Part D prescription drug coverage or through a Medicare Advantage plan that comes with prescription drug coverage. This means you'll need to have either Medicare Part D or a Medicare Advantage plan to get your Eliquis prescription covered.

Most Medicare Part D and Medicare Advantage plans come with a premium, yearly deductible, and copayments/coinsurance. You'll be responsible for paying these costs, which can vary depending on your plan.

The maximum deductible for Part D coverage is $590, and your annual deductible is based on your income. This means you'll be responsible for paying up to $590 in prescription drug costs before coverage becomes available.

Here's a breakdown of what Medicare covers under Part D:

Keep in mind that your specific costs will depend on your plan and your income. It's essential to review your plan's formulary and costs before committing to it.

Medicare Supplement Coverage is an important aspect to understand, especially if you're already paying for a Medicare Part D plan or a Medicare Advantage plan with prescription drug coverage. These plans can help cover the costs of medications like Eliquis (apixaban), but the specifics of your coverage and out-of-pocket expenses will depend on your individual plan.

For example, if you have a Medicare Advantage plan with prescription drug coverage, you'll have some level of coverage for Eliquis. However, the exact amount of coverage and your out-of-pocket expenses will vary depending on your plan.

Medicare Part D plans specifically cover prescription medications, including Eliquis. However, using GoodRx instead of your drug plan won't save you money, unfortunately.

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Medicare covers anticoagulant medications like Eliquis, but the specifics depend on your plan.

Original Medicare may cover related costs for hospital services and medical services, including the costs of medication provided while in the hospital.

Medicare Advantage plans, offered by private insurance companies, provide the same coverage as Original Medicare, plus coverage for prescription drugs. Your plan may cover the cost of Eliquis, but you'll need to use in-network providers and pay the plan premium.

You can use a tool to find a Medicare plan that covers your current medications, including Eliquis.

To have Medicare cover Eliquis, you must have either Medicare Part D or a Medicare Advantage plan (Medicare Part C). Both options are sold by private insurance companies approved by Medicare.

Medicare Part D adds prescription drug coverage to Original Medicare, and most Part D and Part C plans come with a premium, yearly deductible, and copayments/coinsurance.

The cash price of a 30-day supply of Eliquis is typically between $700 and $800 without insurance coverage, but those on Medicare can access a discounted rate through their Part D plan.

On average, the monthly copay for Eliquis with Part D coverage is $55, and roughly half of people taking Eliquis who also have Medicare coverage pay $40 or less for the drug each month.

Medicare Part D plans cover prescription medications that are taken at home, and the maximum deductible for Part D coverage is $590 for 2025.

Here's a breakdown of the costs associated with Medicare Part D plans:

The cost of Eliquis can be a significant concern for Medicare supplement recipients. The list price for a 30-day supply of Eliquis is $594, but people on Medicare pay, on average, $55 per month.

However, the actual cost can vary depending on the Medicare drug plan and the individual's deductible and copay. Some people may pay as little as $40 or less per month, while others may pay up to $594.

Fortunately, there are ways to get help paying for Eliquis. The Extra Help program, offered by Medicare, can significantly reduce the costs of prescription drugs, including Eliquis. Eligibility is based on income and resources, and individuals who qualify may pay as little as $0 to $11.20 per month for Eliquis in 2024.

Here are some additional options to consider:

If you're finding the cost of Eliquis burdensome, there are ways to get help. Many pharmaceutical companies offer coupons and manufacturer rebates to reduce out-of-pocket costs for their medications.

You can start by searching for Eliquis coupons or asking about manufacturer rebates at your pharmacy. This can lead to substantial savings.

Free samples are another avenue worth exploring. Sometimes, healthcare providers have access to free samples of medications like Eliquis. Don't hesitate to ask your doctor if they have samples available.

The Extra Help program can be a lifeline for those enrolled in Medicare. If you qualify, this program significantly reduces the costs of prescription drugs, including Eliquis. Eligibility is typically based on your income and resources.

You can also discuss your costs with your healthcare provider or pharmacist. They often have insights into various assistance programs and can guide you towards solutions that might be available to help cover these costs.

If you're struggling to afford your monthly Eliquis costs, there are resources and support systems designed to help make essential medications more affordable. Taking the time to explore these options can make a big difference in managing your healthcare expenses.

Here are some options to consider:

The cost of Eliquis can be a significant concern for many people.

In 2021, the manufacturer listed the price of Eliquis as $594 for a 30-day supply.

However, the amount a person pays depends on various factors, including their type of Medicare coverage, the formulary tier, and copayments or coinsurance.

A person may also check with a pharmaceutical company to determine whether they can help with costs. For example, Bristol-Myers Squibb, the manufacturers of Eliquis, offer financial support programs.

According to the manufacturer, in 2024, the list price for a 30-day supply of Eliquis is $594, but people on Medicare pay, on average, $55 per month.

In some cases, people on Medicare may pay as little as $0 to $11.20 per month for Eliquis through the Extra Help program.

If you're on Medicare, your deductible and copay will be the primary determining factors in the amount you pay for Eliquis.

The cost of Eliquis can vary significantly based on different factors, including pharmacy prices and insurance coverage.

Without insurance, a month's supply for Eliquis costs $561.

Having health insurance like Medicare can greatly reduce the price you have to pay for Eliquis.

Here are some estimated costs for Eliquis with Medicare: