Yes, Yupelri is covered by Medicare Part B.
Medicare Part B, also known as Original Medicare or Fee-for-Service, provides coverage for certain medical services and supplies, including many outpatient prescription drugs administered by a durable medical equipment (DME) provider or healthcare professional.
How Medicare Part B Covers Yupelri
For individuals prescribed Yupelri for COPD treatment, Medicare Part B typically covers a significant portion of the cost.
- Coverage Amount: Medicare Part B generally covers 80% of the Medicare-approved cost for treatments like Yupelri.
- Patient Responsibility: You are typically responsible for paying the remaining 20% of the cost, in addition to any applicable deductibles.
Here's a breakdown of the typical cost-sharing:
| Cost Aspect | Medicare Part B Coverage | Patient Responsibility |
|---|---|---|
| Yupelri Treatment Cost | 80% of approved amount | 20% of approved amount |
| Medicare Part B Deductible | N/A | Full deductible |
Nebulizer Coverage with Medicare Part B
It's also important to note that Medicare Part B covers most nebulizers as Durable Medical Equipment (DME) for patient use at home. Since Yupelri is an inhalation solution often administered via a nebulizer, this complementary coverage is beneficial for patients requiring such equipment for their treatment.
Understanding Your Coverage
While Medicare Part B covers Yupelri, your out-of-pocket costs can vary based on several factors, including:
- Whether you have met your Medicare Part B deductible.
- If you have a Medicare Supplement (Medigap) policy or other secondary insurance, which may help cover the 20% coinsurance.
- The specific Medicare-approved amount for Yupelri.
For comprehensive details on Medicare coverage and specific savings information related to treatments, it's always advisable to consult official Medicare resources or your plan provider.
