Does Medicare Cover Combivent?
Last Updated : 09/10/20183 min read
If you have asthma, your doctor might prescribe a Combivent inhaler for you. Learn whether Medicare covers Combivent.
What is Combivent?
Combivent (a combination of generic drugs albuterol and ipratropium) may be prescribed to treat and prevent asthma and symptoms caused by lung disease, according to the National Institutes of Health.
Combivent and Original Medicare
Certain kinds of prescription drugs are covered under Original Medicare, Part A and Part B, but these are generally the kinds of medications administered during a covered inpatient hospital stay under Part A or an outpatient hospital setting or doctor’s office under Part B. For most of the prescriptions you’d get at a pharmacy- for example, Combivent – you could get prescription drug coverage through a Medicare Prescription Drug Plan under Medicare Part D.
Combivent and Medicare Part D
If you want Medicare coverage for Combivent, there are two ways you may be able to do so. You can generally either:
- Enroll in a stand-alone Medicare Part D Prescription Drug Plan to work alongside your Original Medicare coverage
- Enroll in a Medicare Advantage Prescription Drug plan.
Both kinds of plans are available through private, Medicare-approved insurance companies.
How can I make sure Combivent is covered under my plan?
Of course, if your doctor prescribes Combivent, you might want to make sure you have a plan that covers that medication or the Combivent generic (albuterol and ipratropium). Each Medicare Prescription Drug Plan has a formulary, or list of covered prescription drugs. If you’re shopping for a plan, you might want to check the plan’s formulary before making a decision. The formulary may change at any time. You will receive notice from your plan when necessary.
Since Medicare Prescription Drug Plan coverage and pricing could change each year, you may want to review your plan’s Annual Notice of Change (sent to you every fall) to see whether or not the prescription drugs you need are still covered by your current plan.
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