Still, for many people, paying for pricey medications may be their only option. At 68, like many postmenopausal women, Kris Wieland, of Plano, Texas, experiences vaginal dryness that can make intercourse painful.
Before Wieland became eligible for Medicare, her gynecologist prescribed Vagifem , a suppository that replenishes vaginal estrogen, a hormone that declines during menopause. That enabled her to have sex without pain. She plans to appeal. Under the law, drugs used to treat erectile or sexual dysfunction are excluded from Part D coverage unless they are used as part of a treatment approved by the Food and Drug Administration for a different condition. Private insurers often take a similar approach, reasoning that drugs to treat sexual dysfunction are lifestyle-related rather than medically necessary, according to Brian Marcotte, CEO of the National Business Group on Health, which represents large employers.
So, for example, Medicare may pay if someone is prescribed sildenafil , the generic name for Viagra and another branded drug called Revatio, to treat pulmonary arterial hypertension, a type of high blood pressure in the lungs. Women like Kris Wieland may encounter a similar problem.
A variety of creams, suppositories and hormonal rings increase vaginal estrogen after menopause so that women can have intercourse without pain. She is the immediate past president of the North American Menopause Society , an organization for professionals who treat women with these problems.
Relief may be in sight for some women. Sexual health is an integral part of everyday life, but not exactly a comfortable topic for dinner party conversations. Fortunately, your doctor is always open to talking about your sex life and prescribing drugs like Viagra to help. Viagra What is Viagra? It has helped men of all ages improve their sex life, and therefore, quality of life, for more than 20 years.
There are several ways to make erectile dysfunction treatment much more affordable. Sign up for Viagra price alerts and find out when the price changes! Get price alerts.
First things first, you should check with your insurance company to see whether they cover Viagra or other ED drugs. If they do, problem solved. So, which drugs might be covered? If your health plan covers any of these name brand or generic drugs, you most likely will still have a copayment, but the amount depends on your specific plan. When you discuss coverage with your insurance provider, be sure to ask how much your copay will cost.
Consult your primary care physician or urologist when evaluating ED drugs, as the best drug for you largely depends on your health history, lifestyle, and other current medications.
Get a prescription coupon. There have been plenty of recent discussions on whether insurance should cover medications like ED drugs and birth control. When most people think of ED drugs, they think of medications that enable healthy sexual activity. One study indicated that the daily use of sildenafil can prevent heart muscle thickening, reducing the risk of early-stage heart failure.
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Does Medicare cover viagra? Medically reviewed by Shilpa Amin, M. Original Medicare coverage Medicare Advantage coverage Part D coverage Cost How it works Summary Medicare usually does not pay for Viagra and similar drugs, such as Cialis and Levitra, that people use to treat sexual dysfunction. Does original Medicare cover Viagra? Does Medicare Advantage cover Viagra? Does Medicare Part D cover Viagra?
What is the cost of Viagra? How does Viagra work? The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products.
Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3. Related Coverage.
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