Original Medicare doesn’t cover Viagra; however, a prescription plan may cover a generic erectile dysfunction (ED) medication. An underlying health condition may cause your ED; it’s best to consult a doctor for medical advice.
If your doctor has already written an ED prescription for your treatment, you may have coverage through your Part C or Part D drug plan. In this article, Medicare beneficiaries can learn more about Medicare coverage and the costs of viagra.
What Is ED and How Does Medicare Cover It?
Erectile dysfunction, or ED, is the inability to get or keep an erection firm enough for sexual activity. ED can result from health issues, emotional issues, or both.
Some risk factors include:
- Anxiety or Depression
- Stress
- Diabetes
- High blood pressure
- Cardiovascular disease
- High Cholesterol
- Smoking
- Obesity
- Drug or alcohol abuse
- Lack of exercise
Overall, ED happens when there isn’t enough blood flow to the penis or blood can’t stay in the penis. These can happen at any age, but ED is most common in men over 50.
While Medicare doesn’t cover medications or injections, there are some ways Part B can help. Medicare covers blood tests, ultrasounds, urine tests, and psychological exams used to diagnose ED.
Penile implant surgery has partial coverage for those that are eligible. You may need to complete a physical exam with your doctor. Part B costs are applicable.
While some people may qualify for coverage on penile implants, others may not. Generally, there needs to be a severe medical condition beyond ED for these things to be eligible for coverage.
ED affects as many as 30 million men. Talk to your doctor and Medicare about your options.
Does Medicare Part D Cover Viagra?
Prescription drug coverage or Medicare Part D plans help with the cost of medications prescribed by your doctor for you to take at home. Some Part D plans cover generic Viagra erectile dysfunction drugs.
Insurance companies have a formulary or list of covered drugs; before choosing a policy, check to see if your medications have coverage. Also, when comparing plans consider any deductibles, copayments, or coinsurances. Prior authorization or quantity limits may apply.
Always ask your doctor about the possible side effects of prescribed medications.
Will Medicare Part C Cover Viagra?
Medicare Advantage plans that include Part D may cover generic versions of Viagra. Some Part C policies will even cover the brand name medication Viagra.
Part C plans combine the healthcare benefits of Part A and Part B with the drug benefits of Part D. Benefits vary by program, and plans vary based on location.
Will Medicare Supplements Cover Viagra?
Medigap insurance fills the gaps in Medicare, covering the costs you’d otherwise pay for Medicare Part A and Part B.
While Medicare Supplement plans cover many benefits, they don’t cover medications like Viagra. Medicare Supplement insurance does help if you need surgery, Durable Medical Equipment, or any other service standard Medicare would cover.
FAQs
Is generic Sildenafil covered under Medicare?
Sildenafil Citrate is considered the generic form of Revatio. Revatio is a phosphodiesterase 5 (PDE-5) blocker to relax the lungs’ blood vessels. Some Medicare prescription drug plans cover this medication. Original Medicare doesn’t cover medications your doctor prescribes for you to take at home; only Part D can help with those costs.
Does Medicare pay for erectile dysfunction treatment?
Medicare Part B may cover psychological therapy and penile implants. Part B covers Durable Medical Equipment, but penis pumps aren’t considered medically necessary.
Does Medicare pay for Cialis?
Most brand-name ED medications, such as Cialis, Levitra, and Viagra, aren’t covered under Part D. Yet, some generic versions may have coverage.
Is Viagra free with Medicare?
Medicare doesn’t cover Viagra; if Medicare is your only insurance, then you’ll pay the total cost of Viagra when you fill your prescription. Talk to your doctor about generic options. Plenty of top Part D plans offer coverage suitable for your needs.
Does Medicare Cover Viagra?
Some Part D and Part C plans cover generic Viagra, known as Sildenafil. There are Medicare Advantage plans in select areas that cover the brand-name Viagra. It’s best to work with a Medicare expert that can identify the policies near you that meet your needs.
What is the cost of Viagra with Medicare?
Most Part D plans cover the Viagra generic sildenafil. With this coverage, you can expect to pay between $1-$10 after meeting applicable deductibles. Without health insurance, Viagra can cost over $1,700.
How to Get Help with Medicare Coverage for Viagra
While Medicare doesn’t cover Viagra, some Part D plans cover generic forms of this ED medication. Medigap insurance can help with the Part B costs you’d otherwise be responsible for paying when you need diagnostic tests, Durable Medical Equipment, and outpatient care.
Our agents can help you find the Part D company with a formulary that meets your medication needs. The agent can answer your questions and walk you through the enrollment process. Whether you have brand-name drugs or generics, proper insurance is necessary.
To find the most suitable Medicare insurance for your needs, call one of our licensed insurance agents at the phone number above. Our online rate comparison tool lets you compare rates from top companies online.
