You can finally choose the Omnipod® System through Medicare Part D.

For more information on coverage, how to sign up, and a full list of Part D plans, please call our Medicare Access team at 877-939-4384.

Coverage through the Part D pharmacy benefit means:

  • Coverage for patients with both Type 1 and Type 2 diabetes
  • No burdensome paperwork
  • No-charge* Personal Diabetes Manager (PDM) comes with first box of Pods for low up-front costs
  • Patients are no longer locked into a 5-year upgrade cycle

PDM and Pod

If you’re not covered on an eligible Medicare plan, you can still get an initial coverage determination in 72 hours or less. Here’s all you need to do:

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Your Physician

Submit coverage determination request forms to the plan sponsor.

To get the forms, call 877-939-4384 or you can visit the CMS website to obtain the necessary forms.

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Your Part D Plan Sponsor

Determines coverage or if additional information is required. In some cases, you may need to follow an appeals process.

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Get Started

If your coverage is approved, you may be eligible to receive reimbursement for the Omnipod® System.

*Omnipod DASH™ System customers will be eligible to receive 1 free PDM every 4 years with the purchase of Pods subject to certain conditions including, but not limited to, verification of insurance.

*At start up, Pod and PDM must be adjacent and touching. During normal operations, Pod must be within 5 feet (1.5 meters) of the PDM.

*The Omnipod® System has a waterproof IPX8 rating for up to 25 feet for 60 minutes; the Personal Diabetes Manager is not waterproof.