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Are you at risk for Diabetes? What does Medicare Cover?

risk fir diabetes

Diabetes affects millions of people, are you one of them? According to research from the CDC and the American Diabetes Association, approximately 90 million American adults have diabetes. Additionally, 1 in 3 people have prediabetes. Do you know if you are at risk? The American Diabetes Association has a Diabetes Risk Test to find out if you are at risk for developing type 2 diabetes. Take the 60-second risk test and understand your risk or the risk of someone you love. Type 2 diabetes develops most often in middle-aged and older adults.

Does Medicare cover Insulin and other anti-diabetic drugs? 

Medicare Part D Prescription Drug Plans or Medicare Advantage Prescription Drug plans cover insulin and prescription drugs to control your diabetes. To be covered under Part D, the insulin must be injectable, not administered through an insulin pump or infusion. You will be responsible to pay the Medicare plan’s copayment or coinsurance, and any deductible your plan may have. The Centers for Medicare and Medicaid Services (CMS) announced that Medicare beneficiaries with diabetes will be able to lower their insulin costs starting January 1, 2021. You may be able to get Medicare drug coverage that offers broad access to many types of insulin for no more than $35 for a month’s supply. You can get this savings on insulin if you join a Medicare drug plan or Medicare Advantage Plan with drug coverage that participates in the insulin savings model.

Does Medicare cover Insulin pumps? 

Medicare Part B covers insulin pumps when medically necessary. You will need a written order from your doctor or health care provider. Insulin pumps are considered durable medical equipment. 

Diabetes supplies and equipment: 

Medicare Part B covers certain supplies for testing and monitoring your blood sugar. Supplies such as blood sugar test strips, lancets, lancet devices, and blood sugar monitors. Medicare may limit how much and how often you can get these supplies. 

Medicare Part D covers the supplies needed to administer insulin. Items like syringes, needles, alcohol swabs, and gauze. 

Foot exams, treatment, and therapeutic shoes or inserts: 

Diabetes can lead to many challenges like circulation issues, nerve damage, and severe foot diseases. Medicare Part B will cover a foot exam every 6 months for diabetic peripheral neuropathy. Medicare will cover therapeutic shoes if you have diabetic foot problems. Your doctor or health care provider will need to document your condition and certify three conditions before Medicare will cover. 

Does Medicare cover Glaucoma tests or eye exams for diabetic retinopathy screening?

Medicare Part B covers a glaucoma (a type of eye disease) screening once every 12 months if you have diabetes or if you are at high risk for Glaucoma. Additionally, Medicare Part B covers diabetic retinopathy screening if you have diabetes.  

Does Medicare cover Diabetes Screening?  

Many people with diabetes don’t know that they have it. Medicare Part B does cover Diabetes Screening. If your doctor determines you are at high risk, you may be eligible for up to 2 screenings each year. 

Diabetes self-management training:

Medicare Part B covers self-management training services to teach patients with diabetes how to manage their condition. You will need a written order from your doctor or other health care provider. 

How do I know if I have the best Medicare coverage for Diabetes?

Medicare Part B only covers about 80% of your costs. Keep in mind, Part B pays approximately 80% of the Medicare-approved amount after your yearly Part B deductible. When you enroll in Medicare Supplement Plan (Medigap), the policy picks up where Medicare leaves off. If you can’t afford a Medicare Supplement Plan, then an alternative may be a Medicare Advantage plan. 

Let out licensed Medicare agents review your current plan with all the other plans available in your area. We do represent over 25+ top-rated insurance companies.  We have helped thousands of people like you save money and/or receive better coverage.

At Senior HealthCare Solutions, our licensed Medicare agents will help you:

  1. Enroll in Medicare Part A and Part B
  2. Explain the differences between Medicare Advantage Plans and Medicare Supplement Plans
  3. Explain all the plans available to you in your zip code
  4. Review your current plan with all the other plans available in your area

Learn More: Does Medicare Cover Cataract Surgery?

People Also Read: Are Vaccines Covered by Medicare Part D?

Meet Melissa MacCalla

Medicare is not simple and can be hard, frustrating, and downright confusing for most. I love when I get someone on the phone and I am given the opportunity to explain the difference in plans to them and have Medicare make sense. I enjoy talking to clients year after year, hearing about their families growing or them asking about mine.

-Melissa

Senior Healthcare Solutions, you truly stand out from most other insurance agents. Thank you so much for all of your help and I know that you will have nothing but success with how you conduct business.

Joan B.

Montgomery, AL

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