Medicare Plan G (a Medigap plan) covers out-of-pocket costs like copays, coinsurance, and deductibles — but it does not cover prescription drugs. No Medigap plan, including Plan G, covers medications like Rytary.
For prescription drug coverage, a separate Medicare Part D plan is what you'd need. Whether Rytary is covered Show Full Answer
Medicare Plan G (a Medigap plan) covers out-of-pocket costs like copays, coinsurance, and deductibles — but it does not cover prescription drugs. No Medigap plan, including Plan G, covers medications like Rytary.
For prescription drug coverage, a separate Medicare Part D plan is what you'd need. Whether Rytary is covered depends on the specific Part D plan's formulary (their list of covered drugs). Here are some steps to help manage the cost of Rytary:
- Check Medicare Part D plans during open enrollment to find one that covers Rytary on its formulary
- Contact the manufacturer (Impax/Amneal Pharmaceuticals) directly — they may have patient assistance programs to help cover costs
- Ask your doctor if a generic carbidopa/levodopa formulation could work for you, as it may be significantly cheaper
- Search for coupon websites that may offer Rytary at a lower cost than your insurance copay
It's always worth calling your insurance company with the drug's prescription code to confirm coverage details before filling a prescription.
September 28