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Medicare Coverage of Diabetic supplies
- Self-testing equipment and supplies:
Medicare Part B covered diabetes supplies: Coverage for
glucose monitors, test strips, and lancets.
Who is covered: All people with Medicare who have diabetes
(insulin users and non-users).
Medicare covers the same supplies for people with diabetes whether or not
they use insulin. These include glucose testing monitors, blood glucose test
strips, lancet devices and lancets, and glucose control solutions. There may
be some limits on supplies or how often you get them. For more information
about diabetic supplies, call your Durable Medical Equipment Regional Carrier.
How to get your diabetes equipment and supplies: To get
your diabetes equipment and supplies under Medicare, you need a prescription
from your doctor. The prescription should say:
- You have been diagnosed with diabetes.
- How many test strips and lancets you need in a month.
- What kind of meter you need. For example, if you need a special meter
for vision problems, the doctor should say that and state the medical reason
why you need a special meter.
- Whether you use insulin or not.
- How often you should test your blood sugar.
Points to remember:
- Ask your doctor or health care provider if regular blood sugar testing
is right for you.
- You need a prescription from your doctor to get your diabetes equipment
and supplies under Medicare.
- Learn the correct way to use your blood sugar meter properly. Your
pharmacist, doctor, diabetes educator, or another health care provider can
help you.
- Keep track of your blood sugar readings and share them with your doctor
or health care provider at regular visits.
- Do not accept shipments of diabetes equipment and supplies that you did
not ask for.
- Therapeutic shoes: Medicare also covers therapeutic shoes
for people with diabetes.
Medicare coverage: Medicare covers depth-inlay shoes,
custom-molded shoes and shoe inserts for people with diabetes who qualify
under Medicare Part B.
How you qualify: Your doctor must certify that you:
- Have diabetes.
- Have one or more of the following conditions in one or both feet:
- history of partial or complete foot amputation
- history of previous foot ulcers
- history of callus that could lead to ulcers
- peripheral neuropathy with signs that you have problems with calluses
- poor circulation
- foot deformity
- Are being treated under a comprehensive diabetes care plan and need
therapeutic shoes and/or inserts because of diabetes.
What you pay: In the Original Medicare Plan
Medicare pays for 80% of the Medicare-approved amount. You pay 20% of the
total payment amount. This amount can be higher if your doctor doesn't accept
assignment, and you may have to pay the entire amount at the time of service.
Medicare will then send you its share of the charge.
- Referrals for more information (DMERC)
If you have questions about durable medical equipment, including diabetic
supplies, call your Durable Medical Equipment Regional Carrier.
Diabetes Services
- Diabetes self-management training
Medicare Part B covered preventive services: Diabetes self-management
training.
What you pay: In the Original Medicare Plan,
you pay 20% of the Medicare-approved amount after the yearly Part B
deductible.
- Medical nutrition therapy services
Medicare coverage: Medical nutrition therapy services are
covered for people with diabetes (or kidney disease) when referred by a
doctor. These services can be given by a registered dietician or nutrition
professional and include diet counseling and therapy services to help you
manage your diabetes.
What you pay: In the Original Medicare Plan, you pay
20% of the Medicare-approved amount after the yearly Part B deductible.
- Flu and pneumoccocal pneumonia shots (vaccinations)
Medicare Part B covered preventive services:
Flu Shot - Once a year in the fall or winter.
Pneumoccocal Pneumonia Shot - One shot may be all you ever need. Ask your
doctor. Who is covered: All people with Medicare.
What you pay: In the Original Medicare Plan, you pay nothing for flu
and pneumoccocal pneumonia shots if the health care provider accepts
assignment.
- Glaucoma screening
Medicare Part B covered preventive services: Once every 12
months. Must be done or supervised by an eye doctor who is legally allowed to
do this service in your state.
Who is covered: People with Medicare who are at high risk for
glaucoma, including people with diabetes or family history of glaucoma.
What you pay: In the Original Medicare Plan, you pay 20% of
the Medicare-approved amount after the yearly Part B deductible.
- Referrals for more information (Medicare Carrier)
If you have general questions about Medicare Part B, call your Medicare
Carrier.
Medicare rights
As a Medicare patient, you have certain guaranteed rights. You have them
whether you are in the Original Medicare Plan, a Medicare Managed Care Plan,
or a Medicare Private Fee-for-Service plan. These rights and protections are
described in your Medicare & You handbook and include the right to appeal any
decision about your Medicare services. For more detailed information about
your rights and protections, call 1-800-MEDICARE (1-800-633-4227) to get a
free copy of the booklet Your Medicare Rights and Protections.
(From www.medicare.gov)
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