Coverage

Does Medicare Cover Xarelto?

Christian Worstell

by Christian Worstell | Published September 16, 2020 | Reviewed by John Krahnert

Some Medicare Part D prescription drug plans and some Medicare Advantage (Medicare Part C) plans that provide drug coverage may cover Xarelto, depending on the plan.

Learn more about your coverage options and the related out-of-pocket expenses.

A pharmacist hands medication to her patientMedicare Part D plans and most Medicare Advantage plans cover prescription drugs. 

When Does Medicare Cover XARELTO?

If you receive health care coverage through Original Medicare (Part A and Part B), XARELTO is not covered by Medicare Part B. Original Medicare does not typically cover prescriptions.

There are 2 options you may be able to consider for Medicare prescription drug coverage:

  • You may be able to enroll in a Medicare Part D prescription drug plan that covers Xarelto.

  • There may be Medicare Advantage plans in your area that include Medicare Part D prescription drug coverage. One of these Part C plans may cover Xarelto.

    In fact, 90% of Medicare Advantage beneficiaries are enrolled in a plan that covers prescription drugs.2

The availability, costs and the drugs that are covered by Part D plans and Medicare Advantage plans may vary  based on where you live.

How Much Does XARELTO Cost With Medicare?

The average copay costs for XARELTO may be anywhere from $15 to $18 in the deductible coverage phase, and $2 to $18 in the typical copay state for most Medicare prescription drug plans.3

Because Medicare Part D plans and Medicare Advantage plans are sold by private insurance companies, your XARELTO coverage and costs can vary.

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and what type of Medicare drug plan you have.

You can compare Part D plans available where you live and enroll in a Medicare prescription drug plan online in as little as 10 minutes when you visit MyRxPlans.com.1

Enroll in Medicare Part D at MyRxPlans.com.

Vist MyRxPlans.com

Find Medicare Supplement Plans That Help Cover Your Heart Health Costs

Even with Medicare prescription drug coverage, you may still be responsible for out-of-pocket Medicare costs such as deductibles, copayments and coinsurance for your Part A and Part B services related to treatment for blood clots and other coronary issues.

A Medicare Supplement Insurance (Medigap) plan can help cover some of these costs.

Each of the 10 standardized Medigap plans that are available in most states provide at least partial coverage for the Medicare Part B coinsurance or copayments you might face when you receive covered outpatient treatments.

A licensed agent can help you decide on a Medicare option that works for you. Call today to speak with a licensed agent and compare the Medigap plans that are available where you live.

 

Find Medicare plans in your area.

Compare Plans
Or call 1-800-995-4219 to speak with a licensed insurance agent.

1 10-minute claim is based solely on the time to complete the e-application if you have your Medicare card and other pertinent information available when you apply. The time to shop for plans, compare rates, and estimate drug costs is not factored into the claim. Application time could be longer. Actual time to enroll will depend on the consumer and their plan comparison needs.

2 Jacobson, Gretchen; et al. Medicare Advantage 2020 Spotlight: First Look. (Oct. 24, 2020). Kaiser Family Foundation. Retrieved from www.kff.org/report-section/medicare-advantage-2020-spotlight-first-look-data-note.

3 GoodRx. Xarelto. Retrieved Sep. 2020 from https://www.goodrx.com/xarelto/medicare-coverage,


 

Christian Worstell is a health care and policy writer for MedicareSupplement.com. He has written hundreds of articles helping people better understand their Medicare coverage options.

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