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Does Medicare cover Diabetic supplies? A Medicare Advantage plan can help you get some of the medications and supplies you need. Call our licensed insurance agents at (800) 950-0608 to learn more about Medicare Advantage plan options in your area.
Certain diabetic supplies are covered by Medicare Part B.
Certain services for diabetics are also covered by Medicare Part B.
Medicare Part B does not cover diabetic medications.
In order to obtain coverage for diabetic medications, you must obtain a Medicare Part D Prescription Drug coverage plan.
If you have Type 1 or Type 2 Diabetes and you’re enrolled in Medicare, it’s important to know what types of diabetic supplies Medicare will cover. As diabetic supplies are necessary to help you keep your condition under control, you should be aware of what each plan of Medicare can help you with in terms of obtaining what you need. In this article, we’ll discuss the diabetic supplies covered by Medicare.
When it comes to Medicare-covered diabetic supplies, the brand isn’t the focus. How Medicare covers diabetic supplies focuses more on what types of supplies you need and whether or not they fall under the coverage limits for Original Medicare.
Diabetic supplies that may not be covered by Original Medicare may be covered by your Medicare Advantage (Part C) plan, or a Medicare Part D Prescription Drug Coverage plan*. Before trying to use these types of plans to cover diabetic supplies, it is suggested to go over your plan to make sure your diabetic supplies will be covered by your plan, or plans.
*Diabetic supplies covered by Part D must be involved in the use of medications and prescribed by your doctor. Examples include insulin syringes or pens.
The answer is yes, Medicare Part B will pay for most diabetic supplies. Below, you’ll find you’ll find all of the common diabetes maintenance and diabetic testing supplies Medicare Part B will cover:
While Part B does not cover most prescription drug costs, including those for diabetic medications, it will sometimes cover insulin needed for insulin pumps. In order for Medicare Part B to cover the insulin required for the pump (and sometimes the pump itself), you’ll have to meet certain conditions.
There are certain diabetic supplies Medicare Part B will not cover. The diabetic supplies that Medicare Part B does not cover include:
What a Medicare Advantage or Prescription Drug Coverage plan does or does not cover depends on three specific things:
To have diabetic supplies covered by any Medicare plan, you will first need your doctor to write prescriptions that cover the following:
*If you do not use insulin, Part B will usually pay for 100 strips and lancets every 3 months.
In order for Medicare to continue covering your supplies, you’ll need new prescriptions each year from your doctor. If you monitor your blood sugar more often than before, you’ll need to have your supply limits increased.
You’ll also need to get your diabetic supplies from a Medicare-approved provider before Medicare will cover them. Medicare-approved providers accept Medicare assignment, which means that they accept Medicare-set payment rates. If you use a provider, such as a pharmacy or supply company, that does not accept Medicare assignment, then you will be responsible for all costs for your diabetic supplies.
Knowing which types of diabetic supplies that your Medicare plan will cover is crucial. In order to learn which diabetic supplies and diabetic testing supplies Medicare covers under your Part C or Part D plan, you’ll need to do any of the following:
Some Medicare Advantage insurance providers offer what are known as Special Needs Plans, or SNPs. SNPs provide additional or specific services for beneficiaries with chronic conditions, including diabetes. As always, the coverage may vary, but a diabetes SNP can offer additional benefits that Original Medicare or other Advantage plans may not provide, including assistance with supplies.
When it comes to obtaining the supplies you need to help keep your diabetes under control, never leave what your plan covers up to guesswork. The diabetic supplies that you need may be covered by your Medicare plan. All it takes is a simple phone call, a few moments to read your plan booklet, or the click of a mouse to find out.