Does Medicare Cover Viagra?

While Original Medicare (Part A and Part B) doesn't cover Viagra, some private Medicare drug plans may cover generic Viagra, also known as sildenafil. Private Medicare plans may not cover the brand name medications, such as Viagra, Cialis or Levitra.¹

Medicare may cover some other erectile dysfunction treatments such as pumps or penile implants if deemed medically necessary by your doctor.

Exploring Medicare Part D Prescription Drug Plans

Keep in mind that most Part D plans may not cover popular medications like Viagra, Cialis, or Levitra to treat erectile dysfunction. However, most Part D plans will cover generic sildenafil for older men. 

Explore your plan's formulary, which is the list of covered drugs, and search for alternative medications that might be included. You never know what hidden gems you might uncover. Medicare erectile dysfunction treatments still are available for older men, whether they are in drug from or otherwise. 

Treating Underlying Health Issues Related to Erectile Dysfunction

Some common Medical conditions linked with erectile dysfunction include:

• Vascular diseases like heart disease or high blood pressure can affect blood flow, which is essential for achieving an erection.
• Kidney afflictions may affect the concentrations of hormones, which are integral for sexual functioning. 
• Diabetes can cause nerve damage and blood vessel issues, both of which may contribute to ED.

Certain treatments for these medical conditions may be covered by Original Medicare (Part A and Part B) and Medicare Advantage (Part C) plans.

If you have Original Medicare, a Medicare Supplement plan can help pay your Part B coinsurance or copays for things like Medicare diabetes treatment or cardiac services.

Out-of-Pocket Costs Associated with Medicare Part B

Despite Part B covering some of your sexual health-related needs, you may still have to bear certain out-of-pocket costs. These expenses include deductibles, coinsurance, copayments, and more.

As mentioned above, you can consider enrolling in a Medicare Supplement Insurance (Medigap) plan to minimize the financial burden and keep more cash in your pocket. Medigap plans pay for the "gaps" in coverage that Original Medicare does not assist with.

Over the Counter Viagra for Medicare Erectile Dysfunction

Unfortunately, there are currently no options to get over-the-counter Viagra or any sort of Viagra generic.

There are some drugs that attempt to mimic an OTC Viagra drug, but they do not contain sildenafil at effective or safe levels. For older men attempting to get a generic Viagra, it is best to reach out to a healthcare professional.

FAQs

Does Medicare Cover Erectile Dysfunction Treatments?

Yes, Medicare may cover some treatments for erectile dysfunction (ED).

While Original Medicare does not cover ED medications like Viagra, it may cover certain procedures and devices such as penile implants or vacuum erection systems.

Additionally, some privately-sold Part D prescription drug plans might include coverage for generic ED medications.

Why Doesn't Medicare Pay for Viagra?

Medicare does not cover brand-name Viagra because the program excludes coverage of drugs used primarily for sexual performance enhancement.

However, some Medicare Part D plans may provide coverage for generic versions of sildenafil citrate (the active ingredient in Viagra), which are prescribed to treat ED.

Does Medicare Part D Pay for Viagra?

While Part D generally does not cover brand-name Viagra due to its exclusion from the list of covered drugs, many plans do offer coverage for generic sildenafil citrate tablets.

It is essential to review your specific plan's formulary and consult with a licensed agent if you have questions about your plan's benefits.

How Frustrating Is It to Treat Erectile Dysfunction?

Erectile dysfunction can be a significant source of frustration and distress for men, affecting their self-esteem, relationships, and overall quality of life.

It is essential to seek medical advice from a healthcare professional who can help identify the underlying causes and recommend appropriate treatments or lifestyle changes.