Medical nutrition therapy and diabetes self-management training are covered benefits for people with diabetes-a certain number of hours of each service are available to people with diabetes on an annual basis. Some preventive care is covered by Part B, including diagnostic screenings for diabetes and cardiovascular disease, obesity screening and counseling, and glaucoma tests. Starting April 1, 2018, Medicare will cover diabetes prevention program services for certain individuals at risk for diabetes. Talk to your health care provider to see if you qualify. Medicare has specific criteria a beneficiary must meet in order to be eligible for coverage of a therapeutic CGM and associated supplies. In 2017, Medicare began covering continuous glucose monitors (CGM) that are classified by Medicare as “therapeutic CGMs.” Medicare considers a therapeutic CGM to be one that is approved by the Food and Drug Administration to replace a blood glucose monitor for making diabetes treatment decisions (meaning it can be used to make treatment decisions without the need for a fingerstick blood sugar test to confirm the CGM results). Medicare Part B covers insulin pumps and pump supplies (including the insulin used in the pump) for beneficiaries with diabetes who meet certain requirements. If your doctor says it is medically necessary, you can get additional quantities of testing supplies. Beneficiaries with diabetes who don't use insulin may be able to get up to 100 test strips and 100 lancets every three months. Medicare Part B covers blood sugar monitors, blood sugar test strips, lancet devices, lancets, and glucose control solutions for beneficiaries with diabetes, whether or not they use insulin, but the amount covered varies.īeneficiaries with diabetes who use insulin may be able to get up to 300 test strips and 300 lancets every three months. Medicare Part B (medical insurance) provides coverage for medically necessary doctors' services, outpatient care, durable medical equipment, lab tests, preventive care, and some medically necessary services not covered by Part A (including some physical and occupational therapy services and some home health care). More information on Part A costs and covered benefits is available at by calling 1-800-MEDICARE (80). In 2019, the Part A deductible is $1,364 per benefit period and depending on the length of your hospital stay you may pay additional coinsurance. Contact Medicare at 1-800-MEDICARE (80) for more information.įor services you use under Part A, you may be charged a deductible and/or portion of the costs. If you aren't eligible for premium-free Part A, and you don't buy it when you're first eligible, you may have to pay a late enrollment penalty. Call your local Social Security office, or Social Security's main number at 1-80 for more information about buying Medicare Part A coverage. If you do not qualify for premium-free Part A, you may be able to purchase the coverage. Most people do not have to pay a monthly premium for Medicare Part A because they or a spouse paid Medicare taxes while working. Medicare Part A (hospital insurance) provides coverage for medically necessary inpatient hospital stays, skilled nursing facilities, hospice care and some home health care. Below is some information regarding Medicare Part A, Part B, Part D, Medicare Advantage and Medigap.įor more information, call 1-800-MEDICARE (80) or visit There are 2 main ways to get Medicare coverage-Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Medicare does not cover everything and for many covered services you pay a portion of the cost, unless you have another insurance plan that pays for part or all of the patient cost-sharing. Prescription drug coverage is also available under Medicare.ĭifferent services and supplies are covered under different parts of the Medicare program, which are outlined below. Medicare covers various medical services, like hospital stays and doctor visits, and supplies like blood sugar test strips. Medicare is the federal health insurance program for people age 65 and older, people under age 65 with disabilities and people with End-Stage Renal Disease (ESRD).
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