Does Medicare Cover Glucotrol XL?

Jory Cross by Jory Cross | Licensed since 2012
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This article was updated on: 09/10/2018

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Original Medicare (Part A and B) doesn’t typically cover prescription drugs like Glucotrol XL. This is the brand name for the generic drug called glipizide. Doctors sometimes prescribe Glucotrol XL to help patients treat type 2 diabetes, according to the National Institutes of Health’s Medline Plus website, often along with diet, exercise, and other prescription drugs. This prescription medication encourages the patient’s pancreas to produce more insulin than it could on its own. Glucotrol XL comes as an oral medication in tablet form. In most cases, you’d need a Medicare plan that includes prescription drug benefits, and specifically covers Glucotrol if you want coverage for this prescription.

About Medicare coverage of Glucotrol XL

Original Medicare provides beneficiaries with coverage for many health-care services, and only provides limited benefits for prescription medications.

  • For example, Medicare Part A may cover prescriptions you receive as part of their inpatient treatment inside a hospital, hospice, or other facility.
  • Medicare Part B covers certain medications under limited circumstances, usually when those prescription drugs are administered in an outpatient facility or clinic.

If a doctor gives you a prescription for Glucotrol XL to get filled at a local pharmacy to take at home, you would usually need a Medicare plan that includes prescription drug benefits if you want coverage for the costs of the medication.

Please note that not every Medicare Prescription Drug Plan necessarily includes coverage for Glucotrol XL (more about this in the next section).

If you’d like to remain with Original Medicare, you could enroll in a stand-alone Medicare Part D Prescription Drug Plan.

A second option is to enroll in a Medicare Advantage Prescription Drug plan. Medicare Advantage is an alternative way to receive your Original Medicare benefits (except for hospice care, which Part A still provides). Most Medicare Advantage plans include prescription drug coverage (they’re called Medicare Advantage Prescription Drug plans). Please note that you’ll still need to continue paying your Medicare Part B premium, along with any premium the Medicare Advantage plan requires, and any plan copayments, coinsurance, and deductibles.

How do you know if a Medicare plan covers Glucotrol XL?

Private health insurance companies contract with Medicare to provide prescription drug benefits. But not every plan necessarily covers Glucotrol XL, so you may want to make sure this medication is covered before you sign up for a Medicare plan.

The insurance company will provide you with a formulary that lists covered prescription drugs and how they are covered. For example, insurers may cover brand-name and generic drugs differently. Insurance companies can change these formularies at their discretion, but you will receive notice from your plan when necessary.

Would you like to learn more about Medicare plans that include prescription drug coverage that can help you pay for Glucotrol XL, other diabetes medicine, and other prescription drugs? If so, I am eager to work with you. Here’s how to get started:

  • Click one of the links below this section to arrange a personal phone call or email.
  • Start researching local Medicare plan options by clicking the “Compare Plans” button on this web page.

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