Condition guides · 2026
Medicare coverage by condition.
Detailed guides covering what Medicare actually pays for, the 2026 $2,000 Part D drug cap implications, and the right plan structure for your specific condition.
14 condition guides
Diabetes
Insulin $35 cap, CGMs, GLP-1s, foot care
Cancer
Chemo, radiation, oral chemo + $2,000 cap
COPD
Pulmonary rehab, oxygen, inhalers
Heart failure
Cardiac rehab, devices, Entresto
Kidney disease & ESRD
Dialysis, transplant, ESRD eligibility
Alzheimer's & dementia
Leqembi, GUIDE care plan, hospice
Arthritis
Biologics, joint replacement, PT
High blood pressure
BP meds, monitor, lifestyle counseling
Depression & anxiety
Therapy, telepsych, Spravato
Asthma
Inhalers, biologics, allergy shots
Osteoporosis
DXA scan, Prolia, Reclast, Forteo
Parkinson's
Sinemet, DBS surgery, PT
Cataract surgery
Standard vs premium IOLs, post-op
Mental health (full guide)
Therapy, psychiatry, addiction treatment
Have a specific condition we haven't covered?
Call (866) 534-1886 — we'll explain Medicare coverage for any condition.
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