Medicare coverage of diabetes supplies and services.

Medicare Coverage of Diabetes Supplies, Services, & Prevention Programs

This official government booklet has important information about: ? What Medicare covers ? Ways to stay healthy ? Where to get information



Table of contents

Introduction 1 Medicare Coverage for Diabetes At-a-Glance 3 Medicare Coverage for Diabetes Supplies 7

Blood sugar self-testing equipment & supplies 8 Insulin pumps 10 Therapeutic shoes or inserts 11 Replacing lost or damaged durable medical equipment or supplies in a disaster or emergency 12

Medicare Coverage for Diabetes Drugs 13 Insulin 14 Anti-diabetic drugs 14 Diabetes supplies 14

Medicare Coverage for Diabetes Screenings & Services 15 Diabetes screenings 16 Medicare Diabetes Prevention Program 16 Diabetes self-management training 17 Medical nutrition therapy services 19 Foot exams & treatment 19 Hemoglobin A1C tests 19 Glaucoma screenings 20 Flu & pneumococcal shots 20 "Welcome to Medicare" preventive visit 20 Yearly "Wellness" visit 20 Supplies & services that Medicare doesn't cover 20

Helpful Tips & Resources 21 Phone numbers & websites 22

Definitions 23

Section 1: Introduction 1

Section 1:

Introduction

This booklet explains Medicare coverage of diabetes supplies and services in Original Medicare and Medicare drug coverage (Part D). Medicare is the federal health insurance program for people 65 or older, certain people under 65 who have disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). Original Medicare includes Part A (Hospital Insurance) and Part B (Medical Insurance). You can join a separate Medicare drug plan to get Medicare drug coverage (Part D). Medicare covers most--but not all--of the costs for approved health care services and supplies. Medicare Advantage (also known as Part C) is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These "bundled" plans include Part A, Part B, and usually Medicare drug coverage (Part D). If you're in a Medicare Advantage Plan, contact your plan to find out more about coverage of diabetes supplies and services.

Note: Go to page 23 for definitions of blue words

2 Section 1: Introduction

Section 2: Medicare Coverage for Diabetes At-a-Glance 3

Section 2:

Medicare Coverage for Diabetes At-a-Glance

The chart on the next 3 pages provides an overview of some of the diabetes services and supplies covered by Medicare Part B (Medical Insurance) and Medicare drug coverage (Part D).

Note: Go to page 23 for definitions of blue words

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