Our team is here to help you navigate Medicare coverage.

We’ve included some helpful information about our Medicare coverage below. However, our team is happy to guide you through the process and discuss your specific needs. Take the first step by filling out our benefits check form and our team will be in touch shortly.

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Medicare Plans where Omnipod DASH may have preferred access.

Unlike pharmaceutical products, Omnipod DASH will not appear on Medicare’s plan finder site since it is a medical device. For this reason, it is important for you to know the plans where Omnipod DASH may be covered and contact them to see if they have access options which will satisfy your individual needs.

At the current time, The Omnipod® System is covered on the following Part D plans under a Tier 3 and Tier 4 co-pay benefit. These may be the most cost-effective options for your Omnipod DASH System:

Plan Name Coverage Level Phone Number
AARP MedicareRx Preferred (PDP) and MedicareAdvantage Preferred- Tier 3 800-850-6807
AARP Medicare Advantage Plans 1, 2, 3 Preferred- Tier 3 800-850-6807
AARP Medicare Advantage Choice Preferred- Tier 3 800-850-6807
Cigna- All PDP and Advantage plan offerings Preferred- Tier 3 855-391-2556
Humana Gold, Community, and Choice Advantage Plans Preferred- Tier 3 888-347-0092
Elixir- All plan offerings Non-Preferred- Tier 4 866-250-2005
Wellcare- All PDP and Advantage plan offerings Non-Preferred- Tier 4 866-527-0056

 

Is your Medicare plan not listed above? You may still be covered.

If you do not have coverage on one of the Part D plans listed above or, based on your other prescription drugs, these plans do not best fit your needs, our team can guide you through the coverage determination process. This process allows Medicare Part D beneficiaries to obtain products that are not formally covered by their Part D prescription drug plan so you can still receive the benefits of the Omnipod DASH system. Get started by filling out our benefits check form.

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New for 2021- Medicare Part D Senior Savings Model!

The Centers for Medicare & Medicaid Services (CMS) has recently announced that they are launching a “Part D Senior Savings Model” that is going live January 1st, 2021. The goal with this program is to reduce Medicare Part D out-of-pocket costs through stable, predictable monthly insulin co-pays throughout coverage phases in the standard benefit design. Many Part D plans (including the plans that have preferred access for Omnipod DASH®) are limiting Insulin costs to $35 a month.

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Pod shown without the necessary adhesive.

 

Want to learn more about the Omnipod DASH System?

Omnipod® DASH offers Pod-based insulin management to help you keep diabetes where you want it—in the background. A wireless, waterproof,* concealable alternative to traditional pumps that gives you the freedom to simplify every day with diabetes. Get ready for a life without tubes or daily injections.

*The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Personal Diabetes Manager (PDM) is not waterproof.

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