Omnipod® is covered under Medicare Part D.
Insurance can be complicated - let us help!
Omnipod 5, now FDA cleared for type 1 and type 2 diabetes, is available on Medicare Part D plans through the pharmacy – removing the barriers and limited access posed by Medicare Part B.
Fill out our online form to see if you have coverage for Omnipod 5 with your current Medicare Part D Plan.
Most Omnipod users on Medicare pay less than $50/month.
Don't miss out- Medicare Part D open enrollment is 10/15-12/7
- You could pay less for your Omnipod 5 or Omnipod DASH prescription if you choose a Medicare Part D plan with preferred coverage during open enrollment.
- In 2025, the "donut hole" or coverage gap will go away so you will have more predictable costs for your medications. The out-of-pocket maximum has also been decreased to $2,000 for all covered medications.
The Part D plans below cover Omnipod and may be the most cost-effective options for your Omnipod prescription:
MedicareAdvantage plans combine hospital, medical and prescription drug coverage all in one plan. If you choose MedicareAdvantage, confirm it also covers Omnipod.
| Plan Name | Plan type |
|---|---|
| AARP Medicare Advantage | MedicareAdvantage Plan |
| AARP SecureHorizons Medicare Advantage | MedicareAdvantage Plan |
| Cigna Preferred Savings Medicare | MedicareAdvantage Plan |
| Cigna True Choice Medicare | MedicareAdvantage Plan |
| HumanaChoice | MedicareAdvantage Plan |
| HumanaChoice SNP | MedicareAdvantage Plan |
| Humana Gold Plus | MedicareAdvantage Plan |
| Humana Gold Plus SNP | MedicareAdvantage Plan |
| Humana Medicare Employer MA-PD | MedicareAdvantage Plan |
If you keep traditional Medicare, and are choosing a stand-alone Prescription Drug Plan, these plans may be right for you.
| Plan Name | Plan type |
|---|---|
| AARP MedicareRx Preferred | Medicare Drug Prescription Plan |
| Blue Cross MedicareRx Value | Medicare Drug Prescription Plan |
| Cigna Extra Rx | Medicare Drug Prescription Plan |
| Cigna Saver Rx | Medicare Drug Prescription Plan |
| Cigna Secure Rx | Medicare Drug Prescription Plan |
| Clear Spring Health Value Rx | Medicare Drug Prescription Plan |
| Express Scripts EGWP High Performance 3 Tier | Medicare Drug Prescription Plan |
| Express Scripts EGWP Premier Access 3 Tier | Medicare Drug Prescription Plan |
| Express Scripts EGWP Premier Performance 4 Tier | Medicare Drug Prescription Plan |
| SilverScript Plus | Medicare Drug Prescription Plan |
The plans listed above are not all inclusive. We recommend using the resources below to find a Medicare Part D Plan that best covers your prescription(s) in a way that fits your individual budget and needs.
Here are a few ways to check which plan is best for you:
- Call 1-800-MEDICARE (1-800-633-4227) and speak with a representative
- Search the Medicare.gov plan finder site, using the following instructions:
- Make a list of your current medications other than Omnipod. Omnipod is designated as a medical device. This means that you cannot search for “Omnipod” when looking for plans.
- Create an account or just enter your zip code and select plan type
- Follow the prompts to add all medications followed by your pharmacy.
Ready to experience tubeless freedom?
Omnipod 5 and Omnipod DASH can simplify life with
3 days (up to 72 hours) of continuous, tubeless insulin delivery with no multiple daily injections.
