In fact, you could thank Part B for covering many of theadult vaccinationsyou receive.
Many of these medications are limited to people with specific medical conditions.
The following list is not all-inclusive but reviews all the covered Part B categories.
Illustration by Brianna Gilmartin, Verywell
The coverage requirements change on an annual basis.
Simply put, Part D covers what Part B leaves behind.
A preventive tetanus shot would be covered by Part D as well.
They won’t pay towards the same prescription though.
you might only turn to one part of Medicare or the other for any given drug.
Medication coverage in the hospital changes based on your situation.
Inpatient vs.
Observation
Staying overnight in a hospital does not make you an inpatient.
Step therapy will also affect how much you spend on Part D drugs.
The goal is for your Medicare Advantage plan to contain costs.
Part D Plans Negotiate Costs
The Inflation Reduction Act was passed in 2022.
It will allow Medicare to negotiate directly with drug companies.
Only Part D drugs will be up for negotiation in the first year, 2026.
Part B drugs will also be eligible for negotiation starting in 2028.
CMS Releases 2023 Projected Medicare Basic Part D Average Premium.
Centers for Medicare & Medicaid Services.
HHS Announces Key Dates for the First Year of the Inflation Reduction Acts Medicare Drug Price Negotiation Program.
Centers for Medicare & Medicaid Services.
January 11, 2023.
