Omnipod® is covered under
Medicare Part D.
Exciting Changes To Medicare Part D
When it comes to insulin pump coverage, are you taking advantage of the changes to Medicare Part D? In 2025 Medicare Part D changed to make managing your prescription plans easier. We encourage you to research these changes and ask your insurance company for additional details. Below is a summary.
The new out of pocket spending cap is now $2,000 per year.
No donut hole. Otherwise known as The Coverage Gap.
The opt-in Medicare Prescription Payment Plan helps spread out the costs of your prescriptions over the whole calendar year.
Answers Are A Phone Call Away
Whether you're already using an insulin pump or exploring new ways to manage type 1 or type 2 diabetes, our no pressure, Omnipod Medicare Specialists will take the time to answer all your questions about insurance, costs and coverage. They can even answer questions about how Omnipod 5 works and how to get a prescription. Just click the link below, fill out the form and we will call you. Tip; When we call, your caller ID will say: Insulet maker of Omnipod
Omnipod 5 has broad coverage for Medicare Part D†
If you know you will be using Omnipod 5 in the coming year, double check with your provider that Omnipod 5 is covered. The providers below all cover Omnipod 5 but we encourage you to do your research and select the plan that works best for you.
Medicare Advantage Plans
- United/AARP
- Cigna
- Humana
Traditional Medicare Prescription Drug Plans
- United/AARP
- BlueCross/Anthem
- Cigna
- Clear Spring Health
- Express Scripts
Mark your calendars for the annual Medicare Open Enrollment period.
October 15th – December 7th
Not on an Insulin Pump yet?
Omnipod 5 is the #1 most requested pump in the US.‡ The next move is yours.
Ask your Doctor if Omnipod 5 is right for you. To help you in this conversation click below and print this guide and bring or send it to your doctor.
If you are not quite ready, our Omnipod Medicare Specialists can help you do your research and even request a prescription for you. Simply click the link below and our team will call you.
Tip: Your caller ID will say: Insulet maker of Omnipod.
Omnipod Medicare Coverage & Access FAQs
How much does Omnipod 5 cost on Medicare Part D?
Can people with type 2 diabetes use Omnipod 5 through Medicare Part D?
Is Omnipod 5 covered for those who are dually eligible for Medicare and Medicaid benefits?
I can’t find Omnipod 5 on my insurance company’s website.
Why isn’t Omnipod covered under Medicare Part “B”?
Can I use Omnipod 5 without a Continuous Glucose Monitor (CGM) or Sensor?
Is there a Medicare website?
†Insulet US Data on file, Feb. 2024 - Jan. 2025 (IQVIA)
‡Omnipod was the pump most frequently requested by people with type 1 and type 2 diabetes in a survey with
Endocrinologists conducted by dQ&A across the United States. n=77 (T1) and n=63 (T2); H2 2024; P.25
The Omnipod® 5 Automated Insulin Delivery System is indicated for use by individuals with type 1 diabetes mellitus in persons 2 years of age and older and individuals with type 2 diabetes ages 18 years and older. The Omnipod 5 System is intended for single patient, home use and requires a prescription. The Omnipod 5 System is compatible with the following U-100 insulins: NovoLog®, Humalog®, and Admelog®.
Refer to the Omnipod 5 Automated Insulin Delivery System User Guide and www.omnipod.com/safety for complete safety information including indications, contraindications, warnings, cautions, and instructions. Warning: DO NOT start to use the Omnipod 5 System or change settings without adequate training and guidance from a healthcare provider. Initiating and adjusting settings incorrectly can result in over - delivery or under-delivery of insulin, which could lead to hypoglycemia or hyperglycemia.
Available products subject to current insurance coverage and product indication for use. Insulet can only support onboarding for those customers within the product indication. Omnipod DASH is currently indicated for all users with insulin-requiring diabetes. Feel free to contact your doctor regarding all products that might be right for you.
Refer to the Omnipod DASH Insulin Management System User Guide for complete safety information including indications, contraindications, warnings, cautions, and instructions.