Does Medicare cover Cialis?

Medicare covers Cialis only for benign prostatic hyperplasia (BPH). Your Medicare Part D covers prescription drugs, but it won't cover Cialis for erectile dysfunction (ED). Medigap and Medicare Advantage plans won't cover Cialis. Therefore, you may have to rely on coupons to get lower Cialis prices. If your Medicare program doesn't cover Cialis, you may have to shop around for a health insurance provider to find a more flexible coverage.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Feb 3, 2021

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The Highlights

  • Medicare generally doesn’t cover Cialis for erectile dysfunction
  • Cialis contains the drug, Tadalafil
  • Tadalafil is used to treat pulmonary arterial hypertension
  • Cialis is a tier five drug

Cialis is a popular drug with several benefits and some side effects, but does Medicare cover Cialis? That answer depends on what Cialis is treating in your body. Even the best insurance companies may decide against giving you money for a Cialis prescription.

Continue reading our guide to learn how you can get affordable Medicare to cover Cialis, and what conditions it’s covered for.

Enter your ZIP code in the free comparison tool above to compare quotes for Medicare that covers Cialis.

Does Medicare cover Cialis?

It depends. Medicare Part A and Part B won’t cover Cialis at all. However, Medicare Part D will provide coverage, but it won’t cover Cialis cost for erectile dysfunction (ED).

Cialis is the brand name of the drug, Tadalafil. Tadalafil is used in generic brands such as Adcirca and Alyq. However, Adcirca and Alyq are covered under Medicare Part D.

Does Medigap or Medicare Advantage cover Cialis?

Medigap is supplemental health insurance that won’t cover Cialis. Medicare Advantage is similar to Medicare Part A and B, and it won’t cover Cialis. Even Tadalafil isn’t covered.

Why? Prescription drugs are only approved medications covered by Medicare Part D.

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How much does Cialis cost?

Cialis (Tadalafil) is a tier five drug. The cost of tier five drugs are usually more expensive than tier one, two, three, and four. Let’s examine the cost of Cialis by milligrams (mg).

Cialis Prescription Cost
PrescriptionsAverage PriceGoodRx Coupon Price
Cialis (30 Tablets, 2.5 mg each)N/A$11
Cialis (30 Tablets, 5 mg each)$298$25
Cialis (30 Tablets, 10 mg each)$1,475$31
Cialis (30 Tablets, 20 mg each)$1,339$30
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The best way to save on Cialis (Tadalafil) is through coupons. Medicare doesn’t appear to cover Cialis as much as other prescriptions, so that you may be stuck with the bill. However, shop around the web for coupons to get a discount on Cialis.

Does Medicare cover Cialis for BPH?

If your Cialis prescription is for benign prostatic hyperplasia (BPH), your Medicare Part D could help you pay for the medication.

However, you will need to get the Cialis recommendation from your healthcare provider.

BPH Prescriptions Alternatives that Medicare Covers

Tadalafil comes in 2.5, five, ten, or 20 mg tablets (usually 30 pills). If Medicare doesn’t accept your Cialis prescription for BPH, your doctor may prescribe these instead:

  • alfuzosin (Uroxatral)
  • doxazosin (Cardura)
  • silodosin (Rapaflo)
  • terazosin (Hytrin)

Your doctor may suggest these medications before conducting other procedures to treat your BPH.

Cialis Medicare Coverage: The Bottom Line

If you happen to get Medicare Part D to approve your Cialis for BPH, you may be limited to one round of prescription at a time or a limited number of Cialis tablets. Medicare is firm on Cialis authorization, so you may have difficulty getting them up to speed.

Health insurance companies may have a little more flexibility. You may be able to buy Medicare that covers Cialis through a Part D plan, but companies tend to share the same restrictions as Medicare. It’s always worth shopping around, however.

To find rates for Medicare that covers Cialis, or to look for alternate health insurance options, compare multiple companies in your local area by entering your ZIP code below.

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