Does Medicare Cover Isordil?
This article was updated on: 09/12/2018
Isordil belongs to a class of drugs known as vasodilators, which work by relaxing the blood vessels, making it easier for the heart to pump blood throughout the body, according to the Food and Drug Administration (FDA) Isordil (generic name: isosorbide dinitrate) may treat coronary artery disease and help manage angina (chest pain). Treatment with Isordil is not usually covered under Medicare, unless you are enrolled in Medicare Part D coverage for prescription drugs. If you have angina or coronary artery disease and your doctor prescribes Isordil, here’s what you should know about Medicare coverage for your medication.
When might Medicare cover Isordil?
Unlike certain other medications prescribed for chest pain, Isordil cannot be used to treat an angina attack once it has begun; it is only used as part of a treatment regimen to prevent chest pain from occurring, according to the National Institutes of Health publication Medline Plus.
Like most prescription medications, Isordil isn’t covered by Original Medicare (Part A and Part B), unless it’s given in the hospital or nursing home during a covered stay, in most cases.
However, if you enroll in a Medicare Prescription Drug Plan, your plan may cover some or all of your costs for Isordil, or its generic equivalent, isosorbide dinitrate. Medicare Part D Prescription Drug Plans use formularies, or lists of covered medications, to determine benefits for medications. If you already have Medicare Part D prescription drug coverage, check your plan’s formulary to see if it covers Isordil.
Keep in mind, however, that plans may change their formularies at any time, but they will notify you in writing of any changes that affect you before they take place.
Can I get Medicare coverage for Isordil?
There are generally two ways to get prescription drug coverage through Medicare. You can sign up for a stand-alone Medicare Part D Prescription Drug Plan, or a Medicare Advantage Prescription Drug plan.
- Stand-alone Medicare Part D Prescription Drug Plans can work alongside your Medicare Part A and/or Part B coverage, while Medicare Advantage plans give you an alternate way of getting your Part A and Part B benefits, as described below.
- Some Medicare Advantage plans have coverage for prescription drugs. Many people who take prescription drugs such as Isordil for heart disease choose these Medicare Advantage plans because they include all their Medicare benefits in one convenient plan.
Note that not every Medicare Prescription Drug Plan may cover Isordil. You may want to check with the plan to make sure.
By law, Medicare Advantage plans must cover everything that Original Medicare covers, except hospice care (which is still covered under Part A); they are an alternative way to receive your Original Medicare and they may offer prescription drug coverage as well. . With a Medicare Advantage plan you must continue to pay your Part B premium.
Medicare Advantage plans may offer additional coverage that benefits individuals with chronic heart conditions such as coronary artery disease. For example, you may be able to enroll in a Medicare Advantage plan in your area that includes wellness program benefits and even discounted gym memberships and over-the-counter medications. Many Medicare Advantage plans include coverage for routine vision, dental, and hearing care, as well.
Medicare Advantage plans and stand-alone Medicare Part D Prescription Drug Plans are offered by private insurance companies contracted with Medicare; not every plan type may be available in every location. In addition, plan premiums, deductibles, copayments, and coinsurance amounts may differ depending on the plan you choose and where you live.
Would you like more information about Medicare coverage of coronary artery disease, heart failure, and treatment with Isordil or other prescription drugs? I’m available to answer your questions. You can request information via email or schedule a phone call at your convenience by clicking one of the links. To see a list of plans in your area that you may qualify for, click the Compare Plans or Find Plans button.