Medicare Coverage For Eliquis

In this article...
  • Eliquis is a medication designed to help treat and prevent blood clots, and certain Medicare Advantage plans may help cover prescription costs. Find out more.

Atrial fibrillation is a common type of heart arrhythmia that causes fast, irregular heartbeats. When left untreated, A-fib can put individuals at risk for developing blood clots in the heart chambers, which can lead to strokes and heart failure. Individuals with A-fib and those with a high risk for stroke or developing blood clots are sometimes prescribed the blood thinner Apixaban, an anticoagulant medication sold under the brand name Eliquis.

Does Medicare Cover Eliquis?

Approximately 99% of Medicare Advantage and Medicare Part D prescription medication plans cover Eliquis. However, Medicare Advantage plans aren't available in all states, and the overall scope of coverage can vary based on the specifics of each plan. Medicare beneficiaries should always check with their plan providers to verify their prescription benefits and potential costs. 

Medicare beneficiaries who haven't met their deductible are typically required to pay full cost for Eliquis and any other prescribed medication. Once a Medicare recipient meets their plan's Part D deductible, they're usually required to pay a flat fee copayment or a coinsurance percentage for all prescriptions covered by Medicare. The costs for Eliquis when recipients are still in the deductible stage range between $42 and $614. After the Medicare Part D is met, the cost for Eliquis typically ranges from $19 to $614.

How Long Can People Safely Take Eliquis?

In most cases, blood thinners such as Eliquis are prescribed for a period of 3 to 6 months. The 3 to 6 month timelines are general guidelines and considered standard by medical professionals. However, individuals who experience adverse reactions to Eliquis should immediately consult with their physicians to determine if they should continue or discontinue the medication, regardless of how long they've been taking it. In some cases, physicians may prescribe Eliquis for longer than 6 months. 

Does Eliquis Cause Any Negative Side Effects?

Some common adverse effects of Eliquis include easy bruising, heavy menstrual bleeding, nosebleeds and bleeding gums, and nausea. People who take Eliquis may also notice that minor cuts and scrapes take longer to stop bleeding, and dizziness is another common side effect.

What Foods Should Be Avoided When Taking Eliquis?

Foods and beverages to avoid when taking Eliquis include leafy greens such as kale or spinach, green tea, cranberry juice, and grapefruit. Green leafy vegetables and green tea contain vitamin K, which can actually thicken the blood and counteract the effects of the medication. Cranberry juice can increase the risk of bleeding when taking blood thinners. Individuals taking blood thinners should also only drink alcohol in moderation, as excessive consumption may hinder the blood's ability to clot. 

What Are the Symptoms of Atrial Fibrillation?

Many people with A-fib are asymptomatic. When symptoms do occur, they may include shortness of breath, fatigue, dizziness, and heart palpitations. In some cases, the first indication of A-fib may be a stroke or heart failure. Electrocardiogram (EKG) tests are commonly utilized to diagnose A-fib in symptomatic and asymptomatic individuals. EKG machines can aid in the diagnosis of A-fib by recording the heart's electrical signals to check for irregular heart rhythms. 

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