Does Medicare Cover Jakafi?

Myelofibrosis stock image

By Daniel Petkevich

Dec 12, 2022

Good news; you're covered

For Medicare beneficiaries seeking treatment for myelofibrosis, knowing that you have coverage can offer peace of mind. Luckily, all Medicare Part D prescription drug plans cover Jakafi. Read more to learn about Medicare coverage and potential restrictions on coverage.

Stay Up to Date on Medicare!

Header brushstroke decoration.

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

What is myelofibrosis?

Myelofibrosis is a type of blood cancer that can cause anemia, enlarged spleen and liver, fatigue, and night sweats. It is rare but serious, so it is important to understand the symptoms so you can seek medical help right away if necessary.

What treatments are available for myelofibrosis?

There are several treatments that may be prescribed to manage the symptoms of myelofibrosis, including chemotherapy and targeted therapies such as Jakafi. Jakafi is a pill taken twice daily that helps reduce spleen size and improve anemia in people with myelofibrosis by targeting the protein in cells.

How does Medicare coverage work for Jakafi and other myelofibrosis treatments?

Medicare Part D plans cover Jakafi and other treatments for myelofibrosis. There may be restrictions on coverage, such as prior authorization requirements or quantity limits, so it is crucial to understand your plan's terms before beginning treatment.

You can review your plan's formulary (list of covered drugs) to learn more about your plan's coverage and restrictions. If you need help understanding or navigating your plan, contact your Medicare Part D plan provider or the Centers for Medicare & Medicaid Services (CMS) at 1-800-MEDICARE (1-800-633-4227).

Generally, Jakafi is listed as Tier 5 on many Medicare plan formularies, making it among the more expensive drugs covered by Medicare. Your out-of-pocket costs will be determined by which coverage phase you are in. Talk with your Part D prescription drug plan provider to see how much you can expect to pay.

Questions to ask your doctor about myelofibrosis treatment?

When discussing treatment with your doctor, it is wise to ask the right questions. Here are some examples of questions to consider asking:

  • What treatments do you recommend for myelofibrosis?

  • What are the benefits and risks associated with these treatments?

  • How will this treatment affect my lifestyle?

  • What side effects can I expect from this treatment?

  • Does my Medicare Part D plan cover Jakafi and other medications for myelofibrosis?

  • How much will I pay out of pocket for my medication?

Understanding your coverage is an important part of treating any condition, so ask your doctor these questions and any others you may have. With the right information, you can make informed decisions about your treatment and care.

Tips for living with myelofibrosis

Living with a serious health condition like myelofibrosis can be difficult. Here are some tips to help manage your symptoms and keep you feeling your best:

  • Stay active by doing light exercises like walking or swimming.

  • Take advantage of available resources, such as support groups or counseling services.

  • Eat a healthy, balanced diet and make sure to get plenty of rest.

  • Talk with your doctor about any concerns or questions you have.

  • Stay up to date on your medications and treatments.

These tips can help make life with myelofibrosis more manageable. If you’re ever feeling overwhelmed, talk to your doctor or reach out to a healthcare professional for help.

Conclusion

Myelofibrosis is a serious health condition, but it can be managed with the right treatment and support. Jakafi is covered by most Medicare Part D plans. However, there may be restrictions on coverage. Make sure you talk to a doctor before taking any new medication, including Jakafi. This content is for informational purposes. For all your Medicare-related questions, call an expert at Fair Square Medicare.

Stay Up to Date on Medicare!

Header brushstroke decoration.

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Learn More About Medicare


Birthday stock image

What Is the Medicare Birthday Rule in Nevada?

Mar 28, 2023

Ozempic stock image

Does Medicare Cover Ozempic?

Mar 28, 2023

Pre-Existing condition stock image

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Mar 28, 2023

Cover image

What People Don't Realize About Medicare

Mar 27, 2023

woman in a hospital wearing a bandana being shown information by her doctor stock photo

Medicare Advantage Plans for Disabled People Under 65

Mar 24, 2023

senior couple working in a greenhouse stock image

Medicare Supplement Plans for Low-Income Seniors

Mar 23, 2023

Kansas farm stock photo

Medicare Savings Programs in Kansas

Mar 22, 2023

Cover image

How Much Does a Medicare Coach Cost?

Mar 20, 2023

20 Q's with Fair Square

20 Questions to Ask Your Medicare Agent

Mar 17, 2023

Washington DC stock image

14 Best Ways for Seniors to Stay Active in Washington, D.C.

Mar 11, 2023

Nashville city skyline stock image

14 Best Ways for Seniors to Stay Active in Nashville

Mar 10, 2023

Seattle Public Market stock image

14 Best Ways for Seniors to Stay Active in Seattle

Mar 10, 2023

Union Station in Denver stock image

15 Best Ways for Seniors to Stay Active in Denver

Mar 9, 2023

Indianapolis skyline at night stock image

13 Best Ways for Seniors to Stay Active in Indianapolis

Mar 9, 2023

Charlotte skyline stock image

14 Best Ways to Stay Active in Charlotte

Mar 9, 2023

senior couple doing yoga stock image

13 Best Ways for Seniors to Stay Active in Columbus

Mar 8, 2023

Philadelphia skyline at sunset stock image

13 Best Ways for Seniors to Stay Active in Philadelphia

Mar 7, 2023

Arizona desert stock photo

13 Best Ways for Seniors to Stay Active in Phoenix

Mar 6, 2023

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap.

100% free.

Fair Square Medicare

LEGAL

Privacy Policy

MORE


Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M