Omnipod® is covered under
Medicare Part D.
Plan for prescription costs during open enrollment
Medicare Open Enrollment runs from October 15th through December 7th. Whether you have Medicare Part D or are considering it for 2027, this is a good time to learn what to expect next year.
$2,400 annual out-of-pocket maximum
If you're enrolled in a Medicare Part D plan in 2027, you'll have a $2,400 annual out-of-pocket maximum for your covered prescription drugs. Your deductible will count toward this amount. Once you reach that limit, you'll pay $0 for your covered Part D prescriptions for the rest of the calendar year.
Optional monthly payment plan
Your deductible and other out-of-pocket costs reset each January, so your prescription costs may be higher early in the year. The Medicare Prescription Payment Plan is an optional way to manage these costs.
It works with your current drug coverage and lets you spread your out-of-pocket costs for covered prescriptions across monthly bills from January through December. All Medicare drug plans offer this option.
Talk with an Omnipod Medicare specialist
Whether you already use an insulin pump or are exploring your options, our Omnipod Medicare specialists are here to answer your questions about insurance, costs, coverage, Omnipod 5, and getting a prescription. You'll get helpful information with no pressure.
Call us at 1-800-591-3455 and select option 2.
We're available Monday – Friday, 8am – 9pm ET.
The majority of Medicare Part D and Advantage Plan beneficiaries have coverage for Omnipod 5†
If you plan to use Omnipod 5 in the coming year, confirm your coverage details with your insurance company. The list below includes plans known to cover Omnipod 5, but it is not a complete list and it may change from time to time. Many local plans in your area also provide coverage.
Medicare Advantage Plans
- United/AARP
- Healthspring (Cigna)
- Humana
- Anthem
Traditional Medicare Prescription Drug Plans
- United/AARP
- Healthspring (Cigna)
- Wellcare
Exploring insulin pump options?
If you're interested in learning more about Omnipod 5, this guide can help you start a conversation with your healthcare provider. Download or print it to review together.
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?
Is there a Medicare website?
†Majority is defined >50%. Reflects coverage for Omnipod 5 DexG7G6 Pods in Medicare channel. Source: Managed Markets Insights & Technology, LLC. Data as of April 2026. RF-042026-00089
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 type 2 diabetes mellitus in persons 18 years of age 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®, Kirsty®, and Admelog®.
Warning: The Omnipod 5 algorithm should NOT be used by anyone under the age of 2 years old. The Omnipod 5 algorithm should also NOT be used in people who require less than 5 units of insulin per day as the safety of the technology has not been evaluated in this population. 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.