Protection particulars for antiviral drugs prescribed for the therapy of COVID-19, particularly these like Paxlovid, range relying on the precise Medicare plan a beneficiary holds. Unique Medicare (Half A and Half B) usually doesn’t instantly cowl outpatient pharmaceuticals. Subsequently, protection typically depends on enrollment in a Medicare Half D plan or a Medicare Benefit plan that features prescription drug protection.
Entry to COVID-19 therapies is a vital side of public well being, notably for susceptible populations. Understanding the nuances of Medicare protection ensures beneficiaries can entry essential drugs in a well timed and inexpensive method. Traditionally, throughout the public well being emergency, the federal authorities bought and offered Paxlovid freed from cost. Because the emergency declaration ended, the accountability for protection shifted, requiring people to navigate the present Medicare framework.