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Diabetes and Medicare

If you have Medicare and are at risk for getting diabetes, you may be eligible for a screening blood sugar test. You are considered at risk if you have any of the following:

  • High blood pressure
  • History of abnormal cholesterol and triglyceride levels (Dyslipidemia)
  • Obesity
  • History of high blood sugar

Other risk factors may also qualify you for this test. Based on the test results, you may be eligible for up to two screenings each year. Medicare also covers certain supplies and self-management training to find and treat diabetes. Below is a detailed list of Medicare services for patients who may be at risk or have diabetes:

Diabetes Screening (Fasting Plasma Glucose Test)

How often is it covered?

You may be eligible for up to two screenings each year. Who is eligible? People at increased risk for diabetes that have any of the following: high blood pressure, history of abnormal cholesterol and triglyceride levels (dyslipidemia), obesity or history of high blood sugar.

What is the cost?

Member enrolled in the Original Medicare Plan get the test(s) for free.

Diabetes Glucose monitors, test strips, and lancets

Who is eligible?

Everyone with Medicare who has diabetes is eligible.

What is the cost?

Members enrolled in the Original Medicare Plan pay 20 percent of the Medicare-approved amount after the yearly Part B deductible.

Diabetes Self-Management Training

Who is eligible?

This training is for people with Medicare who are at risk for complications from diabetes. Your doctor must request this service.

What is the cost?

Members enrolled in the Original Medicare Plan pay 20 percent of the Medicare-approved amount after the yearly Part B deductible.

For more information about diabetes screening visit the Medicare Preventive Services webpage.

 

 

 

 

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