Does Medicare Cover Coreg?

Pamela Cannaday by Pamela Cannaday | Licensed since 2011
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This article was updated on: 09/10/2018

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If you have heart failure or have suffered a heart attack, your doctor may prescribe Coreg, or its generic equivalent carvedilol, according to the National Institutes of Health’s Medline Plus website. Coreg may also be prescribed to treat high blood pressure. Whether Medicare covers Coreg depends on the situation; read on to learn about Medicare coverage of Coreg (carvedilol).

Coreg (carvedilol) is a member of the class of prescription drugs called beta-blockers, according to Medline Plus. Carvedilol works by slowing your heart rate and relaxing your blood vessels to lower your blood pressure and improve blood flow throughout the body. It is usually prescribed in combination with other medications.

Under Original Medicare, Part A and Part B, prescription drug coverage is limited. Medicare Part A may cover Coreg if your Medicare-assigned doctor uses it as part of your treatment as an inpatient. Medicare Part B covers certain prescription drugs administered in an outpatient setting such as a clinic.

So, if you take carvedilol at home, you’d most likely need to enroll in a Medicare plan that includes prescription drug coverage to get help paying for this medication.

How can I get Medicare coverage for Coreg?

Are you enrolled in Original Medicare (Part A and Part B), and not in a Medicare plan that includes prescription drug coverage? You can generally make changes to your Medicare coverage to include this benefit.

If you are enrolled in Original Medicare (Part A and/or Part B), you can enroll in a stand-alone Medicare Part D Prescription Drug Plan to complement your coverage. Available from private, Medicare-approved insurance companies, these plans may vary in terms of availability and out-of-pocket costs.

Or, you can get your Original Medicare benefits through the Medicare Advantage (Medicare Part C) program. Medicare Advantage plans not only include your Original Medicare benefits (except for hospice care, which is still covered by Part A), but they usually include prescription drug coverage as well. You still keep paying your Part B monthly premium as well as any premium your Medicare Advantage plan may charge.

Medicare Advantage plans are offered by private insurance companies contracted with Medicare, and many include additional benefits to help people with cardiac conditions, such as coverage for wellness programs and even discounted gym memberships to help you keep up with your cardiac rehab exercise program, if your doctor recommends one.

It’s important to note that every Medicare plan that includes prescription drug coverage has its own formulary, or list of covered medications. Not every plan covers every medication, and plans may occasionally change their formularies, although you will receive notice from your plan when necessary. If you take Coreg, be sure to check plan formularies before you enroll. One quick way to find out which Medicare plans may cover Coreg or carvedilol is to start by clicking the Compare Plans button on this page.

When can I sign up for Medicare Part D prescription drug coverage for Coreg?

It may be a good idea to enroll in Medicare coverage for prescription drugs as soon as you are eligible for Medicare. If you delay enrollment until you need the coverage, you may have to pay a late-enrollment penalty with your monthly premium.

Are you already enrolled in a Medicare plan, but it doesn’t cover Coreg or you want to change to a different plan? The time to do that is generally during the Medicare Annual Election Period.

Still have questions about Medicare options to help cover your high blood pressure or heart medications? I’m available to help you find answers. You can request information via email or schedule a phone call at your convenience by clicking one of the links below. To see a list of plans in your vicinity, click the Compare Plans button or the Find Plans button on this page.

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