Does medicare pay for prescribed cbd oil

Does Medicare Cover Medical Marijuana or CBD Products? No – But There Are Some Options!

As of March 2020, 33 states have legalized comprehensive, publicly available medical marijuana/cannabis programs and 13 have approved use of “low THC, high cannabidiol (CBD)” products for medical reasons in limited situations.

With this widespread adoption of using marijuana for health conditions, including pain management, alleviating anxiety, and improving sleep, it’s become a viable alternative to pharmaceuticals, especially for people with chronic conditions, mental illness, or undergoing chemo.

It’s especially attractive to older Americans who are in constant pain due to arthritis or other conditions, who have trouble sleeping, or are battling mental health issues.

All that said, this leaves the question of how accessible medical marijuana is to Medicare beneficiaries. We’ll dive into the specifics in this piece, including whether or not Medicare provides coverage, the associated costs, and options available.

Does Medicare Cover Medical Marijuana?

As of July 2020, Medicare does not provide coverage for medical marijuana because it is still a federally controlled substance. In order for a medication to be covered by Medicare, it must have FDA approval. But because marijuana is not authorized on a federal level, Medicare will not cover it even if you buy a Part D plan.

So far, the only FDA-approved marijuana-based drug is Epidiolex, which is a medication for children two years old or younger suffering from epilepsy.

Thus, even if your doctor believes marijuana is the best treatment choice for you and writes you a prescription, you will still be required to pay entirely out-of-pocket should you choose to move forward.

Will Medicare Advantage Cover Medical Marijuana?

Similar to Original Medicare, insurance carriers that sell Medicare Advantage plans need to abide by the federal guidelines, so they will not offer coverage for medical marijuana prescriptions. However, some Advantage plans may provide coverage for the use of cannabinoid-based medications such as Epidiolex.

What About Medigap?

Despite the wide array of benefits offered through Medigap plans, they too have to follow federal guidelines and will not provide coverage for medical marijuana.

So, What Are My Options?

Although Medicare does not cover marijuana, Part D may cover cannabis-based medications. Currently, there are four medications available that contain marijuana compounds and have FDA approval:

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Marinol and Syndros

A synthetic version of the marijuana compound Dronabinol is contained in the brand-name medications Marinol and Syndros. If you pay out-of-pocket without any drug coverage, you could end up paying around $130 each month for Marinol and a whopping $1,300 for Syndros. Having a drug plan that covers these medications can be a massive benefit.

Cesamet

Cesamet is another medication that contains a synthetic compound similar to those in marijuana. The average out-of-pocket cost for Cesamet is more than $2,000 for a month’s supply.

Epidiolex

As mentioned above, Epidiolex has an ingredient derived directly from marijuana. Epidiolex has CBD in it, which can help reduce a plethora of symptoms. However, the average out-of-pocket price of Epidiolex is astronomical, costing more than $32,000 per year.

Does Medicare Cover CBD Oil?

Given the growing popularity of CBD or cannabidiol as a treatment for chronic pain, anxiety, and sleeplessness, it’s a great holistic solution for older adults. Moreover, it doesn’t have the psychotic effects of THC as CBD is typically sourced from industrial hemp plants as opposed to marijuana plants.

Yet, despite the availability of CBD products in health and wellness stores and its proven benefits for managing pain, anxiety, depression, insomnia, and many other unpleasant symptoms, Medicare will not provide coverage for it.

Unfortunately, just like marijuana, CBD is yet to be considered legal on a federal level. Until the FDA approves CBD oil, Medicare won’t help pay for it.

The upside here though is that CBD products are not nearly as expensive as medical marijuana. Depending on factors including strain, dosage, and dispensary you purchase from, the cost can range from $50–$1,500.

Do Your Research

While Medicare does not currently provide coverage for medical marijuana or CBD products, that’s not to say it never will, especially since more states are legalizing both recreational and medical marijuana use, and there’s a push to make it federally legal as well.

But for right now, my best advice is to listen to your doctor’s recommendations and do your research on benefits and costs associated with medical marijuana and CBD products to ensure you’re making a well-informed purchase.

Are medical marijuana and CBD legal in your state? Do you use such products? Why or why not? Do they help you with your particular health issues? What benefit have you noticed since you started using? How do you pay for this type of medication? Please share what you know in the comments below.

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Does Medicare Cover CBD Oil?

Cannabidiol (CBD) oil is growing in popularity these days—you may even use it yourself. CBD contains non-psychoactive compounds derived from cannabis, which can provide relief to patients for a number of different conditions. Unlike medical marijuana, CBD does not contain tetrahydrocannabinol (THC), which is responsible for the “high” feeling. Therefore, it can be used without sacrificing your alertness and cognitive function.

As more seniors use CBD oil to address issues like anxiety, chronic pain management and inflammation, they often want to know whether Medicare will help cover the costs. After all, depending on the product and strength, it can cost hundreds if not thousands of dollars out of pocket per year.

Unfortunately, at this time, Medicare does not cover alternative treatments like CBD oil. CBD and medical marijuana are still illegal under federal law. Until they’re legal, FDA-approved and able to show a proven medical benefit, Medicare will not cover them. If you choose to use CBD oil or medical marijuana, you’ll need to purchase it from a dispensary or naturopath out of pocket.

What is CBD oil good for?

In the meantime, the scientific community is still learning about how CBD may help a number of conditions. While Medicare doesn’t cover these products yet, some studies and trials have shown promising results. Here are some of the conditions CBD might help with.

  • Anxiety: Anxiety affects millions of adults across the nation, including those with chronic pain. While traditional medicine can help relieve your physical pain, the stress associated with chronic conditions might wreak havoc on your mental state. CBD oil may be helpful for relieving physical pain, as well as soothing your nervous system, by acting on the brain’s serotonin receptors.
  • Inflammation: CBD oil may fight inflammation. Recent studies have shown that it affects neurotransmitters and reduces their activity, which in turn reduces pain and inflammation. Thus, CBD oil may be a safer alternative to prescription pain relievers, which can produce unpleasant side effects.
  • Insomnia: If you suffer from chronic pain, getting rest can be difficult. CBD oil’s soothing effects may relieve pain and tension. The better you feel, the easier it is to get to sleep—and the more rest you get, the easier it is for your body to heal.
  • Muscle tension: Muscle tension comes right along with chronic pain. CBD oil may help you unclench, reducing the soreness and physical exhaustion you feel. If proven to work, this could reduce the need for synthetic prescription muscle relaxers and pain medications.
  • PTSD and depression: Finally, CBD oil may help people recover from PTSD and depression symptoms. Like anxiety, CBD’s effects on your brain’s neurotransmitters and serotonin receptors may have a soothing effect. Seniors who suffer from chronic pain know that the day-in, day-out physical suffering often produces a similar emotional effect. In the future, CBD may be an accepted and non-addictive way to treat those symptoms.
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While Medicare doesn’t cover CBD oil, it does cover a number of other healthcare providers, medications and treatments. To learn more about the Medicare coverage and benefits you’re eligible for, call SeniorCare Benefits at 1-888-230-0269 today.

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By clicking the “Get a Free Quote” button, I authorize SeniorCare Benefits and its affiliates to contact me at the telephone and email address provided via live, pre-recorded or autodialed calls, email or text message. My carrier’s message and data rates may apply. I understand this is not a condition of purchasing any property, goods and services and that I may revoke my consent at any time.