Medicare Part D, the prescription drug coverage part of Medicare, generally doesn’t cover Viagra or other drugs for erectile dysfunction. This is because Medicare primarily covers medically necessary treatments, and erectile dysfunction, while impacting quality of life, isn’t typically considered a medical necessity in the same way as, for example, heart medication.
Exploring Alternative Options
If cost is a concern, consider exploring alternative treatments. Your doctor can discuss non-prescription options or other medications that may be covered by Medicare. They can also provide advice on managing erectile dysfunction through lifestyle changes.
Medicare Advantage Plans: A Potential Exception
Some Medicare Advantage plans, offered by private insurance companies, may offer broader coverage than Original Medicare. Check your plan’s formulary–its list of covered drugs–to see if Viagra or similar medications are included. Contact your plan provider directly for clarification on coverage details and associated costs.
