New cost-sharing protections for insulin furnished under the Part B benefit through a qualified item of durable medical equipment and certain Part B drugs
Effective April 1, 2023 coinsurance for Part B rebatable drugs will be reduced if the drug’s price has increased at a rate faster than the rate of inflation. Please reference the Leon Health website for a published list of rebatable drugs with the reduced coinsurance amount. This list will be updated and posted on a quarterly basis. We have included with this letter the April 2023 list of rebatable drugs for your reference.
In addition, Effective July 1, 2023, insulin furnished under the Part B benefits through a qualified item of durable medical equipment (for example., a medically necessary traditional insulin pump), are subject to a beneficiary coinsurance limit for a month’s supply of such insulin (that does not exceed $35).
View the current list of Part B eligible drugs
This drug list will be updated every 3 months.
If you have any questions, please call our Member Services Department at 1-844-969-5366 (TTY: 711). Monday – Sunday 8 a.m. – 8 p.m. October to March and Monday – Friday 8 a.m. – 8 p.m. April to September.
This section will be updated as additional information become available.