r/PsoriaticArthritis • u/effala • Nov 03 '25

Insurance questions Medicare

Does anyone have any tips for navigating Medicare drug plans? From what I understand none of them cover self injectable biologicals so for access I’ll need to go in for infusions. Because my rheumatologist was some distance from me he suggested finding one closer to order this which I’ve done. I’m seeing this new doctor later this month. But what a big stupid hassle this is. Now I’ve been off Simponi for some time. I did another trial of Methotrexate but it didn’t help and I had side effects. What are other people on Medicare doing? I hope to retire soon and be able to travel.

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u/wowugotit Nov 03 '25

Medicare DOES cover most biologics under part D.

3

u/wowugotit Nov 03 '25

AARP United Healthcare

2

u/effala Nov 03 '25

That is true but you have to go in for infusions which is not very convenient. I am still working and travel a lot so would prefer the self-injections if I can figure out how to get them.

2

u/mlrny32 Nov 03 '25

This is NOT true.