Medicare Diabetes Coverage | Mauldin Insurance Group Lexington SC

Living with diabetes requires careful management, and understanding how your insurance coverage works is a vital part of staying healthy. Medicare provides extensive benefits for diabetes-related supplies and services, but the rules can often be complex.

Whether you are newly diagnosed or have been managing the condition for years, here is a breakdown of what you need to know about Medicare diabetes coverage.

What’s Covered Under Medicare Part B?

Medicare Part B (Medical Insurance) generally covers the services and supplies needed to detect and manage diabetes.

• Self-Testing Equipment & Supplies: This includes blood sugar monitors, test strips, and lancet devices. If you use insulin, you may be eligible for up to 300 test strips and lancets every three months.
  
• Diabetes Screenings: If you are at risk, Medicare pays for up to two screenings per year to detect diabetes early.
• Self-Management Training: You can receive up to 10 hours of initial training to help you learn how to manage your diet, exercise, and medications effectively.
  
• Therapeutic Shoes: For those with severe diabetic foot disease, Part B covers one pair of depth-inlay or custom-molded shoes and inserts per year.
• Insulin Pumps: External insulin pumps and the insulin used with them are covered as durable medical equipment for those meeting specific criteria.

What’s Covered Under Medicare Part D?

If you have a Medicare drug plan (Part D), it covers the medications and supplies used to administer insulin.

• Injectable & Inhaled Insulin: Part D covers insulin that is not used with an infusion pump.
• Anti-Diabetic Drugs: This includes oral medications like Metformin or Glyburide used to maintain blood sugar levels.
  
• Injection Supplies: Syringes, needles, alcohol swabs, and gauze are all covered under Part D.

Maximizing Your Benefits

To ensure your supplies are covered and to keep your out-of-pocket costs low, always verify that your pharmacy or supplier is enrolled in Medicare and accepts assignment. Accepting assignment means the provider agrees to the Medicare-approved amount as full payment, which can save you significant money.

Get Local Expert Guidance

Understanding these benefits is the first step, but choosing the right plan for your specific needs is where many people feel overwhelmed.

Mauldin Insurance Group, located in Lexington, South Carolina, specializes in helping you navigate the complexities of Medicare. Their local experts can help you review your current coverage and ensure you are getting the full range of benefits you are entitled to.

 

Contact Mauldin Insurance Group today for personalized assistance with your Medicare planning.

You can find more detailed information in the official government guide here: Medicare’s Coverage of Diabetes Supplies & Services