Medicare Coverage Information for Yasmin
- Learn whether Medicare prescription drug plans cover the combined oral contraceptive, Yasmin, and what out-of-pocket costs there are when this drug is covered.
Yasmin is a prescription medication used for birth control. Although the majority of people enrolled in Medicare are aged 65 and over, the program does cover younger people with permanent disabilities or End Stage Renal Disease. If you’re one of the 14% of Medicare beneficiaries younger than 65, you may wish to know if Yasmin is covered by your prescription drug plan.
Does Medicare Cover Yasmin?
Medication isn't covered by original Medicare, but people enrolled in Medicare Advantage may have medication coverage. Beneficiaries can also purchase a separate drug plan, known as Part D. Yasmin is covered by 86% of Medicare prescription drug plans. Given this high level of coverage, it’s likely that you’ll be able to find a plan in your area that covers the medication. There are also generic forms of the drug available that may be covered by your Medicare plan.
What Is Yasmin Used For?
Yasmin is a combination oral contraceptive that contains an estrogen and a progestin. The synthetic versions of these hormones are estradiol, which is the estrogen, and drospirenone, the progestin. The hormones work in combination to stop ovulation, thicken cervical mucus and generally create an unfavorable environment for fertilization.
Yasmin may also be prescribed off-label to treat hormonal conditions. In particular, Yasmin can be used to treat acne and Premenstrual Dysphoric Disorder (PMDD).
The medication is provided in a 28-day pack, with 21 active pills and seven placebo tablets that don’t contain any active medication/hormones. Pills must be taken at the same time each day for full effectiveness. Yasmin has a higher level of estrogen than some other oral birth control pills, which can increase the risk of side effects such as headaches, nausea and breast tenderness.
How Much Does Yasmin Cost With Medicare?
The amount you’ll pay for Yasmin depends on your plan and whether you’re in the deductible or co-pay stage. A deductible is the amount that you must pay before your insurance plan begins covering medications. In 2022, the maximum deductible for Medicare drug plans is $480 and deductibles can be as low as $0. If you haven’t met your deductible, you may have to pay the full cost of the medication.
If you’ve met your deductible, you only have to pay the co-pay for the medication. Depending on your plan, this is either a flat fee or a percentage of the cost.
How Do I Know if Yasmin Is Covered by My Plan?
Each Medicare drug plan has a formulary that lists all the prescription medications that are covered. This can generally be found on the insurer’s website. Alternatively, you can contact your insurer and ask them to send you the list via the post or email.