This booklet explains the diabetes supplies and services that Medicare helps pay for, and where you can get more help.

INTRODUCTION
This booklet explains Medicare coverage of diabetes supplies and services in Original Medicare and with Medicare prescription drug coverage (Part D).Original Medicare is fee-for-service coverage under which the government pays your health care providers directly for your Part A and/or Part B benefits.

If you have other insurance that supplements Original Medicare, like aMedigap (Medicare Supplement Insurance) policy, it may pay some of thecosts for the services described in this booklet. Contact your plan’s benefits administrator for more information.

If you are in a Medicare Advantage Plan (like an HMO or PPO) or other Medicare health plan, your plan must give you at least the same coverage as Original Medicare, but it may have different rules. Your costs, rights, protections, and choices for where you get your care might be different if you are in one of these plans. You might also get extra benefits. Read your plan materials, or call your benefits administrator, for more information about your benefits.

Download Medicare Coverage of Diabetes & Supplies

PDF format, 4.7MB, 30Pages.

CONTENTS
Introduction............................................................1–2
Section 1: Medicare Coverage for Diabetes At-a-Glance............3–6
Section 2: Medicare Part B-covered Diabetes Supplies..............7–11
Blood sugar self-testing equipment and supplies ................................................7–9
Insulin pumps......................................................................................................10
Therapeutic shoes or inserts............................................................................10–11
Section 3: Medicare Part D Diabetes Coverage............................13–14
Insulin..................................................................................................................13
Anti-diabetic drugs..............................................................................................13
Diabetes supplies..................................................................................................14
Section 4: Medicare-covered Diabetes Services..........................15–21
Diabetes screenings ........................................................................................15–16
Diabetes self-management training................................................................16–18
Medical nutrition therapy services........................................................................19
Foot exams and treatment....................................................................................20
Hemoglobin A1c tests..........................................................................................20
Glaucoma tests....................................................................................................20
Special eye exams..................................................................................................20
Flu and pneumococcal shots................................................................................20
Physical exam—“Welcome to Medicare” physical exam......................................21
Supplies and services that aren’t covered by Medicare..........................................21
Section 5: Helpful Tips and Resources..............................................23–26
Information for people with limited income and resources..................................23
Tips to help control diabetes................................................................................24
Telephone numbers and websites....................................................................25–26

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