Step Therapy
Medicare Glossary
A coverage rule used by some Medicare Advantage and Part D (prescription drug plans) providers that require you to try lower tier drugs to treat a condition before the plan will cover higher tier prescription drugs.
Have Questions About Medicare?
Speak with an agent who can help you understand your coverage options - no cost, no obligation.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.
Related Articles
Medicare's Home Infusion Therapy Benefit: What It Covers
Getting IV therapy at home involves three separate Medicare benefits — the pump, the drug, and the nursing visit are each paid differently, and not every drug qualifies.
Read MoreMedicare Coverage for Mental Health: Therapy, Psychiatry, and Crisis Services
Learn how Medicare covers mental health services including therapy, psychiatry, inpatient care, crisis services, telehealth, and substance abuse treatment.
Read MoreMedicare Physical, Occupational, and Speech Therapy Coverage
Learn how Medicare covers physical therapy, occupational therapy, and speech-language pathology, including outpatient benefits and cost thresholds.
Read More