Fair Square Medicare Wordmark

Does Medicare Cover Ilumya?

Psoriasis on elbow stock photo

By Daniel Petkevich

Dec 7, 2022

It's covered on Part B if you get a doctor's approval

For those with plaque psoriasis, it can take many different medications or treatments to find relief from the discomfort. Once you find something that works for you, it can be stressful to ensure that you will receive proper coverage from your insurance provider. Luckily for those on Medicare, Part B covers Ilumya if it's considered medically necessary.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

What is Ilumya?

Ilumya (or tildrakizumab-asmn) is a prescription medicine used to treat adults 18 years and older with moderate to severe plaque psoriasis. It helps reduce the symptoms of plaque psoriasis by targeting certain proteins in the body that cause inflammation.

Ilumya is given via injection every three months and needs to be given by a healthcare provider. That is why it's covered by Part B rather than prescription drug coverage.

How does Medicare Part B cover Ilumya?

Medicare Part B covers Ilumya if your doctor determines it is necessary to treat your condition. Typically if other forms of treatment for your psoriasis aren't working or your psoriasis has worsened in severity, your doctor might recommend it. Medicare will help pay for the drug, but you may be responsible for some out-of-pocket costs. If you have

Medicare Supplement Plan G

, your out-of-pocket costs are limited to the Part B deductible. Be sure to check with your insurance provider or contact your local Medicare office to learn more about coverage and any associated costs

What are the side effects of Ilumya?

The most common side effects of Ilumya include upper respiratory tract infection, injection site reactions, nausea, and headache. Serious side effects may include allergic reactions and infections. Be sure to talk to your doctor about all the potential side effects before starting treatment with Ilumya.

How to get coverage for Ilumya under Medicare Part B?

If your doctor prescribes Ilumya to treat your condition, you will need to get a prescription from them. Medicare may cover some or all of the costs associated with Ilumya treatment, depending on your plan. Be sure to check with your Medicare plan provider for exact coverage details.

It’s important to remember that Medicare coverage is subject to change, so it’s best to check with your local Medicare office or your insurance provider for the most up-to-date information on coverage and out-of-pocket costs associated with Ilumya treatment.

Is there a generic alternative to Ilumya?

Currently, there is no generic or biosimilar version of Ilumya available. Patients with access to Medicare Part B may be able to get coverage for the branded drug. Talk to your doctor and insurance provider to learn more about coverage options and potential savings.

How to find a doctor who prescribes Ilumya

If you think Ilumya is the right treatment option for your condition, speak to a doctor about getting a prescription. Your primary care doctor may be able to prescribe Ilumya or refer you to a specialist who can. You can also search online for dermatologists or other specialists in your area who are experienced in treating plaque psoriasis.

Questions to ask your doctor about Ilumya

Before starting treatment with Ilumya, be sure to ask your doctor the following questions:

  • What are the potential side effects of taking Ilumya?

  • How often will I need to take Ilumya injections?

  • Are there any lifestyle changes or other treatments that can help manage my symptoms?

  • What other options are available if Ilumya doesn't work?

  • Does Medicare cover the cost of Ilumya?

  • Are there any discounts or coupons available to help lower my out-of-pocket costs?

By asking these questions, you can be sure you have all the information you need to help make an informed decision with your healthcare specialist.

Takeaway

In summary, Medicare Part B may cover Ilumya if your doctor determines it is medically necessary. Speak with your doctor to see if Ilumya is right for you. This content is for informational purposes only. If you have questions about your Medicare plan, call an expert at Fair Square Medicare today.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

Doctor physician consulting with male patients in hospital exam room stock photo

Is PAE Covered by Medicare?

Nov 23, 2022

Plastic surgeon handles a silicon implant

Does Medicare Cover Breast Implant Removal?

Jan 5, 2023

Unrecognizable person undergoing surgery in the clinic stock photo

Does Medicare Cover Robotic Surgery?

Nov 28, 2022

a doctor tells her patient she doesn't accept medicare. the patient wonders what to do stock image

What to Do When Your Doctor Doesn't Take Medicare

Feb 24, 2023

Medicare at 62 stock image

Does Retiring at Age 62 Make Me Eligible for Medicare?

Jun 16, 2022

Medicare Part A & Part B stock photo

How Much Does Medicare Part A Cost in 2025?

Nov 18, 2022

Modern endoscope in hands of experienced medical worker stock photo

How Does Medicare Cover Colonoscopies?

Dec 27, 2022

senior african american man feeling pain in his knees from arthritis while on a couch stock photo

How Much Does Xeljanz Cost with Medicare?

Jan 25, 2023

Cover image

Is Fair Square Medicare Legitimate?

Jul 27, 2023

breast cancer awareness ribbon stock image

Does Medicare Cover Piqray?

Dec 2, 2022

Nashville city skyline stock image

14 Best Ways for Seniors to Stay Active in Nashville

Mar 10, 2023

senior man on a phone call stock image

Last Day to Change Your Medicare Part D Plan

Jul 14, 2025

Ozempic stock image

Does Medicare Cover Ozempic?

Mar 28, 2023

Fair Square

Building the Future of Senior Healthcare

Aug 25, 2022

Pre-Existing condition stock image

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Mar 28, 2023

Leg bones and knees, 3d rendering. stock photo

Does Medicare Cover Boniva?

Nov 29, 2022

senior man receiving dental care stock photo

Will Medicare Cover Dental Implants?

Jun 2, 2022

Cover image

Fair Square Bulletin: We're Revolutionizing Medicare

Apr 27, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Jacksonville

13 Best Ways for Seniors to Stay Active in Philadelphia

14 Best Ways for Seniors to Stay Active in Washington, D.C.

2024 Cost of Living Adjustment

2025 Medicare Price Changes

Can Doctors Choose Not to Accept Medicare?

Can I Change Medicare Advantage Plans Any Time? | Medicare Plans

Can I Laminate My Medicare Card?

Can I switch From Medicare Advantage to Medigap?

Can Medicare Advantage Plans be Used Out of State?

Costco Pharmacy Partners with Fair Square

Do I Need to Renew My Medicare?

Do You Need Books on Medicare?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover an FMT?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Hearing Aids?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Nuedexta?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Penile Implant Surgery?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover SIBO Testing?

Does Medicare Cover TENS Units?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Vitamins?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Allergy Shots?

Does Medicare pay for Opdivo?

Does Medicare Pay for Varicose Vein Treatment?

Estimating Prescription Drug Costs

Everything About Your Medicare Card + Medicare Number

Fair Square Client Newsletter: AEP Edition

Finding the Best Dental Plans for Seniors

How Are Medicare Star Ratings Determined?

How Can I Get a Replacement Medicare Card?

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How is Medicare Changing in 2025?

How Much Does a Medicare Coach Cost?

How Much Does Medicare Cost?

How Much Does Rexulti Cost with Medicare?

How to Become a Medicare Agent

How to Enroll in Social Security

Is the Shingles Vaccine Covered by Medicare?

Is Vitrectomy Surgery Covered by Medicare?

Medicare Guaranteed Issue Rights by State

Medigap vs. Medicare Advantage

Seeing the Value in Fair Square

Top 10 Physical Therapy Clinics in San Diego

Welcome to Fair Square's First Newsletter

What Are Medicare Part B Excess Charges?

What Happens to Unused Medicare Set-Aside Funds?

What is a Medicare Beneficiary Ombudsman?

What Is a Medicare Supplement SELECT Plan?

What Is the Medicare Birthday Rule in Nevada?

What To Do If Your Medicare Advantage Plan Is Discontinued

What to Do When Your Doctor Leaves Your Network

What's the Difference Between HMO and PPO Plans?

When Can You Change Medicare Supplement Plans?

Why You Should Keep Your Medigap Plan

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M

Fair Square Medicare

FSM symbol - 50