Fair Square Medicare Wordmark

Does Medicare Cover Piqray?

breast cancer awareness ribbon stock image
By Daniel Petkevich
Dec 2, 2022

All Part D plans have you covered

For Medicare beneficiaries seeking treatment for breast cancer, knowing that you have coverage can offer peace of mind amidst very challenging times. If you are taking Piqray to treat your breast cancer, the good news is that all Part D prescription drug plans offer coverage. How much could it cost you? Let's find out.

Stay Up to Date on Medicare!

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

What is Piqray and what are its uses?

Piqray is a targeted therapy used to treat certain types of advanced or metastatic breast cancer. It works by blocking an enzyme called PI3K, which may help slow or stop the growth of some cancer cells. When taken in combination with other chemotherapy drugs, it can be an effective treatment option for breast cancer patients.

How does Medicare cover Piqray?

Most Part D plans offer coverage for Piqray. This means that if your doctor prescribes this medication, it should be covered by your Medicare plan. However, the amount of coverage will depend on the specific plan you have and its drug formulary. Before you start treatment, it's important to check with your insurance provider to make sure you're fully aware of what's covered and how much you'll need to pay out of pocket.

How much does Piqray cost on Medicare?

The cost of Piqray on Medicare depends on the Part D plan you have and which tier it has placed the drug in. Generally, generic drugs are less expensive than brand-name drugs and may be covered at a lower co-pay or co-insurance amount. Piqray will typically be found on Tier 5, which is usually the most expensive. How much you will pay will also depend on

your coverage phase

. It's also important to note that if you're enrolled in a Medicare Advantage Plan, your coverage and cost may differ. Speak to your doctor and insurance provider for more personalized information about how much you would pay.

Can I get help paying for Piqray?

There are several programs available that may be able to help you with the costs associated with taking Piqray. Your doctor may be aware of other resources, or your insurance provider may be able to direct you to programs that can help. Additionally, you may qualify for Extra Help from Medicare, which could lower the cost of your medications and healthcare services.

If you have questions about Medicare coverage of Piqray, who can you ask for help?

If you have questions about Medicare coverage of Piqray, one of the best resources is your doctor. Your doctor can provide personalized advice about your specific situation and help answer any questions or concerns you may have. Additionally, speaking to your insurance provider can also be helpful. They can provide more detailed information on what your plan covers and how much you might need to pay out-of-pocket for Piqray. You can also contact the Medicare helpline at 1-800-MEDICARE (1-800-633-4227) for more information. They have knowledgeable representatives who can help guide you through your coverage options.

Takeaway

Piqray is a prescription drug covered by most Part D plans. Depending on the specifics of your coverage, you may need to pay out-of-pocket for this medication. If you are having difficulty covering the costs associated with Piqray, several programs can help. Be sure to talk with your doctor before starting or stopping any medication (including Piqray). This content is for informational purposes only. Give us a call at Fair Square Medicare for all your Medicare questions.

Stay Up to Date on Medicare!

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

Recommended Articles

Cover image
2023 Medicare Annual Election Period (AEP)
Sep 21, 2023
Senior woman having vision problems stock photo
Does Medicare Cover Macular Degeneration?
Nov 30, 2022
amazon box
What If I Don't Like My Plan?
Jun 8, 2020
Model of the lungs with the diseased part. Cancer or Ground glass opacity GGO. stock photo
Does Medicare pay for Opdivo?
Nov 23, 2022
Arizona desert stock photo
13 Best Ways for Seniors to Stay Active in Phoenix
Mar 6, 2023
woman working from home with a headset on stock image
How Do Medicare Agents Get Paid?
Apr 12, 2023
Leg bones and knees, 3d rendering. stock photo
Does Medicare Cover Boniva?
Nov 29, 2022
Cover image
What Is a Medicare Supplement SELECT Plan?
Apr 25, 2023
stack of books stock image
Do You Need Books on Medicare?
Apr 6, 2023
SIBO (small intestinal bacterial overgrowth) symptoms stock photo
Does Medicare Cover SIBO Testing?
Dec 1, 2022
Teenager Helping his Grandfather at Home stock photo
Does Medicare Cover Geri Chairs?
Dec 7, 2022
Fecal microbiota transplant from healthy in unhealthy intestine, FMT. Improvement intestinal microflora and normalization stool by introducing beneficial bacteria in bowel colon tract. Vector stock illustration
Does Medicare Cover an FMT?
Dec 2, 2022
senior woman doing botox stock photo
Is Botox Covered by Medicare?
Jan 19, 2023
Human hands holding healthy lung shape made from paper on light blue background. stock photo
How Much Does Trelegy Cost with Medicare?
Jan 24, 2023
air purifier stock image
Does Medicare Cover Air Purifiers?
Nov 18, 2022
Washington DC stock image
14 Best Ways for Seniors to Stay Active in Washington, D.C.
Mar 11, 2023
surgeons working over a patient stock image
Does Medicare Cover LVAD Surgery?
Nov 30, 2022
Cover image
The Fair Square Bulletin: July 2023
Jul 17, 2023

More of our articles

Building the Future of Senior Healthcare

Can Doctors Choose Not to Accept Medicare?

Can I Change Medicare Advantage Plans Any Time? | Medicare Plans

Can I Change My Primary Care Provider with an Advantage Plan?

Can I Choose Marketplace Coverage Instead of Medicare?

Can I Laminate My Medicare Card?

Can I switch From Medicare Advantage to Medigap?

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

Can Medicare Help with the Cost of Tyrvaya?

Do I Need Medicare If My Spouse Has Insurance?

Do I Need to Renew My Medicare?

Do Medicare Supplement Plans Cover Dental and Vision?

Does Medicare Cover Abortion Services?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Breast Implant Removal?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Cosmetic Surgery?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Flu Shots?

Does Medicare Cover Fosamax?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Hoarding Cleanup?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Mental Health?

Does Medicare Cover Nexavar?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover TENS Units?

Does Medicare Cover the Urolift Procedure?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Urodynamic Testing?

Does Medicare Pay for Varicose Vein Treatment?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Medicare Plan Cover B12 Shots?

Fair Square Bulletin: We're Revolutionizing Medicare

Fair Square Client Newsletter: AEP Edition

Finding the Best Dental Plans for Seniors

Finding the Best Vision Plans for Seniors

How Can I Get a Replacement Medicare Card?

How Does Medicare Cover Colonoscopies?

How Medicare Costs Can Pile Up

How Much Does a Medicare Coach Cost?

How Much Does a Pacemaker Cost with Medicare?

How Much Does Medicare Part A Cost in 2023?

How Much Does Medicare Part B Cost in 2023?

How Much Does Open Heart Surgery Cost with Medicare?

How Much Does Rexulti Cost with Medicare?

How to Apply for Medicare?

How to Choose a Medigap Plan

How to Enroll in Social Security

How Your Employer Insurance and Medicare Work Together

Medicare & Ozempic

Medicare Consulting Services

Medigap vs. Medicare Advantage

The Easiest Call You'll Ever Make

Welcome to Fair Square's First Newsletter

What Is a Medicare Advantage POS Plan?

What Is Medical Underwriting for Medigap?

What's the Deal with Flex Cards?

What's the Difference Between HMO and PPO Plans?

When Can You Change Medicare Supplement Plans?

When to Choose Medicare Advantage over Medicare Supplement

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2023

Terms of Use
Notice of Privacy Practices

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