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Diabetes

Diabetes and Medicare

People with Medicare and at risk for getting diabetes, may be eligible for a screening blood sugar test. A person is considered at risk if they have any of the following:

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

Other risk factors may also qualify for a test. Based on the test results, Medicare may approve up to two screenings per 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.

Screening (Fasting Plasma Glucose Test)

How often is it covered?

Medicare may cover 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?

Members 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 for monitors, test strips and lancets.

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. Check the Medicare Mail Order external link information for details.

If you have a Medicare Advantage program, call a representative to ask what benefits they provide and at what cost.

Diabetes Self-Management Training

Who is eligible?

Self-management training is for people with Medicare who are at risk for complications from diabetes. A 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, download the chart of what is covered by original Medicare PDF external link or call the local Medicare SHIP (State Health Insurance Program) office at (702) 486-3478 or (702) 486-3801.

 

 



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