Does Medicare Cover Allergies?
Last Updated : 09/10/20182 min read
If you have allergies, you’re not alone.
- The Centers for Disease Control and Prevention (CDC) notes that more than 50 million Americans suffer from allergies.
- An estimated 30% of adults and 40% of children are affected, estimates the American College of Allergy, Asthma & Immunology.
- Allergies are the sixth leading cause of chronic illness in the United States, according to the CDC.
- Allergies run up an estimated $18 billion annually in health-care costs, reports the CDC.
What are allergies?
Your immune system protects you from infections. According to the CDC, if your immune system overreacts to certain substances called allergens, this can produce allergies. They often cause you to sneeze or cough, or cause itching.
Allergies: what types are there?
There are many types of allergies. The Centers for Disease Control and Prevention (CDC) lists asthma, eczema, hay fever, dermatitis, sinusitis, and conjunctivitis. National Institute of Allergy and Infectious Diseases adds allergies to food, mold, latex, insect stings, pet allergies, and drugs to the list.
Allergies: is there a cure?
There’s no cure for allergies, according to the Asthma and Allergy Foundation of America. But in many cases, the symptoms can be treated with prescription medications or allergy shots, notes the National Institutes of Health.
Allergies: does Medicare cover them?
Medicare Part B (medical insurance) may cover specific conditions related to allergies. For example, if you have asthma, Medicare may cover nebulizers and medications used to treat it. Medicare Part B may also cover certain diagnostic tests.
If your doctor prescribes a medication to treat your allergy, in most cases Original Medicare (Part A and Part B) won’t cover it. However, a Medicare Prescription Drug Plan might cover certain allergy drugs.
Each Medicare Prescription Drug Plan has its own formulary, or list of drugs it covers. If you’re looking for a plan, you may want to check its formulary to see if it covers your specific medications. A plan’s formulary may change at any time. You will receive notice from your plan when necessary.
If you’d like to ask me about Medicare plan options that may cover your prescription drugs, I’d be happy to answer your questions.
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