Have Diabetes? Medicare Parts B and D Have You CoveredPosted by Medicare Made Clear
If you have diabetes, you know it’s a day-to-day reality that needs to be attended to. Making wise food choices, eating at regular times and testing your blood glucose are just a few of the self-care behaviors you may need to master.
Medicare supports your self-care efforts by providing coverage for diabetes supplies and services. Medicare Part B covers testing and other supplies you may need plus some medical and education services. Medicare Part D covers diabetes medications and supplies for injecting or inhaling insulin.
In general, you pay 20% of the Medicare-approved amount for diabetes supplies and services covered by Part B after the yearly deductible is met. Your percentage share of the cost is called coinsurance.
You may pay a coinsurance amount or a copayment for items covered by Part D. A copayment is a small set dollar amount that you pay each time you receive a service or fill a prescription. What you pay depends on the terms of your specific Part D plan.
Some services, such as medical nutrition therapy and hemoglobin A1c tests (HbA1c), may be provided at no additional cost to you.
Medicare Advantage plans (Part C) provide all of these same benefits and often additional ones as well, such as coverage for vision, dental and hearing care. The costs will depend on the specific plan.
Here’s a rundown of the diabetes supplies and services that Medicare and Medicare Advantage plans cover.
Medicare Part B-covered items include:
- Blood glucose testing supplies and equipment (meters, test strips, lancets and control solutions)
- Therapeutic shoes or inserts
- Insulin pumps and insulin used with a pump
- Diabetes screening tests for people at risk
- Diabetes self-management training to learn how to help manage diabetes day-to-day
- Medical nutrition therapy, including diet and lifestyle counseling
- Hemoglobin A1c tests to monitor blood glucose control
- Foot exams and treatment for diabetes-related nerve damage
- Eye test for glaucoma
Medicare Part D-covered items include:
- Medications to manage blood glucose
- Insulin taken by injection
- Supplies for taking insulin by injection (syringes, needles, alcohol swabs and gauze)
- Inhaled insulin
Some diabetes supplies and services require a prescription or recommendation from your doctor. There may be limits on the amount of some supplies you can get or on how often some services are covered. Talk to your doctor about what you may need.
Your annual Medicare Wellness visit is a great time to make sure you’re up to date with your diabetes care. Medicare’s got you covered!
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For more information, explore MedicareMadeClear.com or contact the Medicare helpline 24 hours a day, seven days a week at 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.