Will the cost of Eliquis be high or lower if I have Medicare a and b and GEHA high option? As you can see I don't have D and I get my script at CVS.

Question

Sam Pak · Accepted Answer

The good news is that if you have Medicare Parts A and B along with GEHA High Option, you may already have prescription drug coverage through GEHA, even without a separate Medicare Part D plan.

GEHA High Option includes prescription benefits administered through CVS Caremark. Eligible Medicare retirees may also have the option of GEHA's SilverScript Medicare prescription drug plan, which could provide additional savings.

Eliquis is generally a medication covered through prescription drug benefits rather than Medicare Parts A and B. What you pay at CVS will depend on your specific GEHA coverage, whether you're enrolled in the SilverScript option, and your plan's cost-sharing rules.

Before making any changes, I would recommend contacting GEHA or CVS Caremark to confirm your current Eliquis copay and whether you could save money through the GEHA Medicare prescription drug option.

One important thing to remember is that federal retiree health benefits work differently from many other Medicare arrangements. I wouldn't recommend enrolling in a separate Part D plan without first checking how it might affect your existing GEHA coverage.

My advice is to verify your current prescription benefits first. You may already have good drug coverage, and the goal should be to find the most affordable way to obtain your Eliquis without unnecessarily changing your insurance.

Duane Lutgring · Answer

Medicare Parts A and B don't normally cover Eliquis from CVS, but your GEHA High Option plan includes prescription coverage, so you may not need a separate Part D plan. What you pay depends on GEHA's drug coverage and whether CVS is a preferred pharmacy, so I'd check with GEHA before assuming it'll be expensive.

Answered by Duane Lutgring on November 9, 2026

Agent Licensed in IN, AL, AR & 23 other states

Answered by Duane Lutgring Medicare Insurance Agent

Cindy Dedini · Answer

Medicare does not cover part D prescription drugs. You would have to check with your GEHA to see if they have prescription drug coverage. For the most part that’s just Medical and dental but you’ll have to check your eligibility requirements. You might go to the manufacturer of Eliquis to see if there might be a program available for you to get it at a lower cost.

Answered by Cindy Dedini on November 9, 2026

Broker Licensed in CA, AZ, CO & 11 other states

Answered by Cindy Dedini Medicare Insurance Agent

Ron Crawford · Answer

Missing Part D: The new Medicare Part D price negotiations (Maximum Fair Price) and the $2,100 annual out-of-pocket spending cap only apply if you are enrolled in a Medicare Part D prescription drug plan or a Medicare Advantage plan (Part C) with drug coverage.

Answered by Ron Crawford on November 9, 2026

Broker Licensed in NC, SC & VA

Answered by Ron Crawford Medicare Insurance Agent

Frances Eleanor Mitchell · Answer

I would call your carrier and ask them that question. They can give you what your plan will pay and what you will pay. CVS is usually higher than other pharmacies. Also you may want to look into getting a Part D and see if the plan you want will cover Eliquis. If the cost is still high ask your doctor about an alternative

Answered by Frances Eleanor Mitchell on November 10, 2026

Agent Licensed in FL & CT

Answered by Frances Eleanor Mitchell Medicare Insurance Agent

Will the cost of Eliquis be high or lower if I have Medicare a and b and GEHA high option? As you can see I don't have D and I get my script at CVS.

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Related Questions

Agent Locator

Medicare Agents Hub
A non-government resource website

Will the cost of Eliquis be high or lower if I have Medicare a and b and GEHA high option? As you can see I don't have D and I get my script at CVS.

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Related Questions

Agent Locator

Medicare Agents HubA non-government resource website

Medicare Agents Hub
A non-government resource website