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Eliquis: The Go-To Anticoagulant and Its Relationship with Medicare

Experienced Medicare Broker Consulting with Client in Michigan

HELPING YOU PUT TOGETHER YOUR MEDICARE PUZZLE

MBG IS AN INSURANCE BROKER AND IS NOT ASSOCIATED, ENDORSED, OR AUTHORIZED BY THE SOCIAL SECURITY ADMINISTRATION, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, OR THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS)

jim.neil@medicarebenefitsgroup.com734-657-4797

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Introduction ????

Eliquis is a breakthrough medication in the world of anticoagulants, widely used to prevent blood clots and strokes in people with atrial fibrillation. However, its high cost raises questions about affordability. This blog will shed light on how Medicare can be a financial savior for those needing Eliquis.

What is Eliquis? ????

Eliquis (apixaban) is an oral anticoagulant that interferes with the blood clotting process. It’s commonly prescribed for preventing stroke and systemic embolism in patients with non-valvular atrial fibrillation, and for treating and preventing deep vein thrombosis and pulmonary embolism.

Cost Implications ????

The out-of-pocket cost for Eliquis can range from $400 to $500 for a month’s supply without insurance, putting it out of reach for many who need it.

Eliquis and Medicare ????

Eliquis is predominantly covered under Medicare Part D, the prescription drug plan, or through Medicare Advantage plans that include prescription drug coverage.

Tier System and Co-payment ????

Eliquis is usually listed in a mid-to-high tier on most Medicare Part D formularies, implying you’ll have a co-payment. The actual co-payment varies depending on the specifics of your Medicare plan.

Prior Authorization and Limitations ⚠️

Prior authorization might be required, meaning your healthcare provider will need to prove that the drug is essential for your treatment. Additionally, quantity limits may apply.

Extra Coverage Options ????️

To offset any remaining costs, consider a Medicare Supplement Insurance (Medigap) plan, or choose a Medicare Advantage plan with enhanced prescription drug benefits.

Conclusion ????

Eliquis has significantly impacted the world of anticoagulant therapy, offering a more convenient and equally effective alternative to older medications like warfarin. While the cost can be substantial, Medicare—especially through Part D—provides crucial financial assistance.

By understanding the intricacies of Medicare coverage for Eliquis, you can make more informed decisions about your healthcare journey. ????

MBG IS AN INSURANCE BROKER AND IS NOT ASSOCIATED, ENDORSED, OR AUTHORIZED BY THE SOCIAL SECURITY ADMINISTRATION, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, OR THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS)

https://www.medicarebenefitsgroup.com/contact/

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Shecter Calendar
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2023-05-12
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Cindy
2023-05-11
Jim was a great resource who was recommend by my financial advisor. His explanations of the various options were straight forward and very informative. He asked me pertinent questions about my health in order to tailor a plan to best fit my needs.
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