Does Medicare Cover Desyrel?
This article was updated on: 09/10/2018
The National Institutes of Health’s Medline Plus website notes that trazodone, the generic equivalent of Desyrel, is used to treat conditions such as depression, insomnia and schizophrenia. It falls into the category of serotonin modulators, which boost your serotonin levels to help your brain maintain balance. If you’re a Medicare beneficiary, keep reading to find out about Medicare prescription drug coverage of Desyrel.
Which part of Medicare covers prescriptions like Desyrel?
Medicare coverage has four parts, related to different sources for your coverage. Medicare Part A and Part B together are known as Original Medicare. Part A generally relates to hospital expenses, while Part B concerns visits to doctors and clinics, as well as preventive care, and medical equipment and supplies. Part A and Part B may cover some prescription drugs in certain situations (for example, Part A may cover drugs as part of your hospital inpatient treatment). However, Original Medicare doesn’t cover medications you’d typically take at home, like trazodone.
You can choose to get your Original Medicare benefits through Medicare Part C, the Medicare Advantage program, in most cases. Medicare Advantage plans are available from Medicare-approved private insurance companies, although hospice care is still covered directly by the government through Medicare Part A. You must still keep paying your monthly Medicare Part B premium, along with any premium the Medicare Advantage plan may have. Some plans have premiums as low as $0.
With a Medicare Advantage plan, you may be able to get your prescription drug coverage for Desyrel in the same coverage plan you have for hospital and clinic care. Look for Medicare Advantage Prescription Drug plans if you’d like this benefit. Many plans also include offer additional benefits, like routine vision and hearing services.
If you decide to stay with Original Medicare, you can sign up for a stand-alone Medicare Part D Prescription Drug Plan to cover your medications, like Desyrel. Different plans may cover different prescription drugs, as described below.
How can I make sure my Medicare plan covers Desyrel?
It’s important to understand that every Medicare plan that includes prescription drug coverage maintains its own formulary. This is a list of prescription drugs the plan covers. So, when you’re looking for a Medicare plan to cover Desyrel, make sure any plan you’re considering has Desyrel or trazodone in its formulary. A plan’s formulary may change at any time. You will receive notice from your plan when necessary.
Here are a few more tips to help make sure your Desyrel is covered, and possibly to save you money:
- Find out whether your prescription costs will be lower if you use a pharmacy in the plan’s network, and make sure you get your medications through a network pharmacy.
- Some plans offer discounts when you order medications by mail; ask your plan about this and how order by mail.
- Make sure the health-care provider who prescribed your medication accepts Medicare assignment (a payment agreement with Medicare).
- Similarly, if you go outside the plan’s pharmacy network (or if the plan doesn’t have a network), make sure your pharmacy accepts Medicare assignment.
- If you have a Medicare Advantage Prescription Drug plan that requires you to use a network, make sure your prescribing doctor and pharmacy are part of the network.
- Check to see if your Medicare Advantage Prescription Drug plan or your Medicare Part D Prescription Drug plan coverstrazodone or Not all plans may cover this medication.
- Read your plan’s Annual Notice of Change, which the plan sends you every fall. This document tells you about any coverage changes, including prescription drugs.
Do you have questions about Medicare prescription drug coverage for Desyrel or other medications? I can help you get the answers.
- Click one of the links below to schedule a phone call with me, or to request an email with more information.
- Ready to look at Medicare plans in your area? Check out the “Compare Plans” button on this page.