Omnipod® is covered under Medicare Part D.

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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.

Source: IQVIA OPCL. Majority is defined over 70%. Based on paid claims for Omnipod 5 G6 Pods and Omnipod DASH Pods. Includes Medicare paid claims January 2023 through December 2023.

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:

Medicare Advantage plans combine hospital, medical and prescription drug coverage all in one plan. If you choose Medicare Advantage, confirm it also covers Omnipod.

 

Plan NamePlan type
AARP Medicare Advantage Medicare Advantage Plan
AARP SecureHorizons Medicare AdvantageMedicare Advantage Plan
Cigna Preferred Savings MedicareMedicare Advantage Plan
Cigna True Choice MedicareMedicare Advantage Plan
HumanaChoiceMedicare Advantage Plan
HumanaChoice SNPMedicare Advantage Plan
Humana Gold PlusMedicare Advantage Plan
Humana Gold Plus SNPMedicare Advantage Plan
Humana Medicare Employer MA-PDMedicare Advantage Plan

If you keep traditional Medicare, and are choosing a stand-alone Prescription Drug Plan, these plans may be right for you. 

 

Plan NamePlan type
AARP MedicareRx PreferredMedicare Prescription Drug Plan
Blue Cross MedicareRx ValueMedicare Prescription Drug Plan
Cigna Extra RxMedicare Prescription Drug Plan
Cigna Saver RxMedicare Prescription Drug Plan
Cigna Secure RxMedicare Prescription Drug Plan
Clear Spring Health Value RxMedicare Prescription Drug Plan
Express Scripts EGWP High Performance 3 TierMedicare Prescription Drug Plan
Express Scripts EGWP Premier Access 3 TierMedicare Prescription Drug Plan
Express Scripts EGWP Premier Performance 4 TierMedicare Prescription Drug Plan
SilverScript Plus Medicare Prescription Drug 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:
    1. 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. ​
    2. Create an account or just enter your zip code and select plan type​
    3. 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. 

Omnipod 5 DASH PDM Pod Discliamer Omnipod 5 DASH PDM Pod Discliamer