Medicare & You: Diabetes

Diabetes screenings

Medicare covers these screenings if your doctor determines you’re at risk for diabetes. You may be eligible for up to 2 diabetes screenings each year. You pay nothing for the test if your doctor or other qualified health care provider accepts assignment.

Diabetes self ‑management training

Medicare covers diabetes outpatient self-management training to teach you to cope with and manage your diabetes. The program may include tips for eating healthy, being active, monitoring blood sugar, taking medication, and reducing risks. You must have diabetes and a written order from your doctor or other health care provider. You pay 20% of the Medicare-approved amount, and the Part B deductible applies.

Diabetes supplies

Medicare covers blood sugar testing monitors, blood sugar test strips, lancet devices and lancets, blood sugar control solutions, and therapeutic shoes (in some cases). Medicare only covers insulin if it’s medically necessary and you use an external insulin pump to administer the insulin. You pay 20% of the Medicare -approved amount , and the Part B deductible applies.

 

Note: Medicare prescription drug coverage (Part D) may cover insulin, certain medical supplies used to inject insulin (like syringes), and some oral diabetic drugs. Check with your plan for more information. You may need to use specific suppliers for some types of diabetic testing supplies. Visit Medicare.gov/supplier directory to find a list of suppliers for your area.

Doctor and other health care provider services

Medicare covers medically necessary doctor services (including outpatient services and some doctor services you get when you’re a hospital inpatient) and covered preventive services . Medicare also covers services provided by other health care providers, like physician assistants, nurse practitioners, social workers, physical therapists, and psychologists. Except for certain preventive services (for which you may pay nothing), you pay 20% of the Medicare -approved amount, and the Part B deductible applies

Foot exams and treatment

Medicare covers foot exams and treatment if you have diabetes -related nerve damage and/or meet certain conditions. You pay 20% of the Medicare-approved amount , and the Part B deductible applies. In a hospital outpatient setting, you also pay the hospital a copayment .

 Source: Medicare & You 2017

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