What coverage options are there for medications that are not typically covered by Medicare prescription drug plans?

Medications that are not typically covered by Medicare prescription drug plans may sometimes be included as supplemental benefits. This is because Medicare Advantage plans, which combine Part A and Part B and may offer additional benefits, have the flexibility to tailor their coverage options beyond standard Medicare guidelines. This supplemental benefit could include additional coverage for certain drugs, over-the-counter medications, or other health-related services that go beyond what standard Medicare Part D provides.

This option is essential because some enrollees may have specific medications they need that are not listed on the standard formulary of Medicare Part D. By allowing for supplemental benefits, Medicare Advantage plans can better meet the unique health needs of their members. Thus, this flexibility potentially enhances access to necessary medications that would otherwise be unavailable under traditional Medicare prescription drug coverage.