Medicare Diabetes Coverage

2014 Medicare and Medigap Updates

Medicare Diabetes Coverage

With the rise in the number of Type II diabetes cases diagnosed annually, it is only proper that Medicare policy owners should be aware of the Medicare diabetes coverage scope as defined by the Centers for Medicare and Medicaid Services. After all, one may end up spending for medical services out of his or her own pocket where Medicare would have been adequate. As currently formulated, Medicare contains provisions specifically targeted to the needs of those with diabetes. Being able to avail of these provisions and benefits can go a long way into helping your family care for you without having to pay for the extravagant medical services that accompany diabetes care.

As a quick summary, here are the essential points of Medicare diabetes coverage that patients can expect to benefit from once they are signed up to a Medicare policy:

Testing for diabetes. Even before being diagnosed with the condition, the coverage by Medicare already extends to testing for the presence or absence of diabetes in a policy holder. However, these can only be invoked if a patient shows susceptibility factors such as hypertension, abnormal cholesterol levels, or obesity problems. On top of this, policy owners can also invoke the right to diabetes screenings if they answer “yes” to any two of the following criteria: above 65 years of age, with a documented weight problem, a family history of diabetes, or has recently delivered a baby who weighs more than 9 pounds. This item falls under Medicare Part B coverage.

Anti-diabetic drug coverage. Medicare Part D has provisions that encompass coverage of anti-diabetic medication specifically those needed to maintain one’s blood sugar level. As usual, Part D coverage requires coinsurance or co-payment and deductibles on the part of the patient. This Medicare diabetes coverage also extends to other supplies that are required in the delivery of insulin such as syringes and needles.

Diabetes medical supplies coverage. The complex and potentially fatal nature of the illness requires patients to get access to multiple supplies to help monitor their conditions on a regular basis. These supplies such as blood sugar testing kits and lancet devices are covered under Part B Medicare plans.

Self-management trainings. Medicare Part B has provisions that allow diabetes patients to avail of outpatient training in the area of risk management for diabetes. The terms require 20% co-payment beyond the Part B deductible as defined in Medicare coverage plans.

Other exams. Medicare diabetes coverage also foots the bill on a range of exams which are known to help manage the condition or spot serious complications that can worsen if it remains undetected. Part B will pay for foot exams, glaucoma tests and medical nutrition therapy to help patients detect other conditions that can arise from Type II diabetes.

There are extensive benefits in Medicare diabetes coverage that can help patients with their needs for medical services and prescription drugs. These benefits, when used in the right manner, can go a long way into caring for patients without them having to spend big amounts out of their pockets. It’s a great plan for policy holders and one that should be put to good use to ensure that the quality of life of diabetes patients remain high despite the potential complications that they are facing.

Most retirees have a Medicare supplement policy called Medigap to cover expenses that Medicare does not cover. You can check on the internet or with a local agent concerning Medigap cost. We hope this information on Medicare diabetes coverage has been helpful.