Affording biologics for psoriasis on Medicare can feel overwhelming, but there are several strategies that can help reduce costs significantly.
Here are some key steps to consider:
- Enroll in Medicare Part B — Biologics given by injection or IV at a doctor's office are often classified as medical care and covered under Show Full Answer
Affording biologics for psoriasis on Medicare can feel overwhelming, but there are several strategies that can help reduce costs significantly.
Here are some key steps to consider:
- Enroll in Medicare Part B — Biologics given by injection or IV at a doctor's office are often classified as medical care and covered under Part B, which could mean little to no cost for your medication
- Add secondary insurance — Plans like employer-based coverage, Veterans Affairs benefits, or commercial plans can help cover what Medicare doesn't
- Ask about a biologics coordinator — Some dermatology practices have staff dedicated to negotiating with insurance companies on your behalf, which can be a game-changer
- Look into manufacturer assistance programs — If you're under 65 and don't yet qualify for Medicare, many biologic manufacturers offer financial assistance programs directly
It's also worth checking Medicare.gov during open enrollment (October 15 – December 7) to make sure your plan best covers your specific biologic. One important note: copay savings cards from drug manufacturers are typically only available to people with private insurance, not Medicare or Medicaid. So those won't apply in this case — but the Medicare Part B route and secondary insurance options are worth exploring first.
Talking to a dermatologist who regularly prescribes biologics and has experience navigating Medicare coverage is a great starting point.
September 4
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