How Medicare Covers Diabetic Supplies And Where to Get Help
Managing diabetes effectively is extremely important and requires reliable access to the necessary supplies. For Medicare beneficiaries living with diabetes, understanding what’s covered and how insurance pays for it is essential. As a Medicare agent, helping clients navigate these benefits can make a real difference in their quality of life. We will go over Medicare payment of diabetic supplies and provide information on how to get help locating and paying for them.
Diabetic Supplies Medicare Covers
Medicare Part B (Medical Insurance) covers certain diabetic supplies for all beneficiaries who have diabetes, whether they use insulin or not. Here’s what they typically cover:
- Blood glucose monitors
- Blood sugar test strips
- Lancets and lancet devices
- Glucose control solutions
- Continuous Glucose Monitors (CGMs) and related supplies
For beneficiaries who use insulin, Medicare also covers insulin pumps and pump-related supplies under Part B if the pump qualifies as durable medical equipment (DME).
Important: Insulin itself (unless used with a pump) syringes, needles, alcohol swabs, and gauze are generally covered under Medicare Part D (the prescription drug benefit).
How Much Medicare Pays
Under Medicare Part B, Medicare pays 80% of the Medicare-approved amount for covered diabetic supplies after the beneficiary meets the Part B deductible. The beneficiary is responsible for the remaining 20% unless they have additional coverage (like a Medigap plan or Medicaid) that helps with cost-sharing.
If diabetic supplies are obtained through a Medicare-enrolled supplier, the beneficiary avoids unnecessary out-of-pocket costs. That’s why it’s essential to work with reputable providers who are participating providers under Medicare.
Where to Get Supplies: Advanced Diabetic Supply Group
One of the most trusted names in diabetic supply delivery is the Advanced Diabetic Supply Group (ADS).
Here’s why Medicare beneficiaries and agents should consider ADS:
Watch a YouTube video on Advanced Diabetes Supply and how they can help your clients
- Medicare-Enrolled Supplier: ADS is an accredited Medicare DME provider, which means they meet strict compliance and billing standards.
- Home Delivery: Supplies are shipped directly to the beneficiary’s home—saving time and eliminating pharmacy trips.
- Bilingual Support: ADS offers customer service in English and Spanish, making communication easier for diverse clients.
- Insurance Coordination: They work directly with Medicare and many private insurance plans to verify coverage and handle paperwork.
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As an agent, you can refer clients to ADS knowing they’ll receive quality care and proper billing, which leads to better health outcomes and fewer surprises.
Tips for Agents and Beneficiaries
- Stay enrolled: Ensure your client’s Medicare coverage is active and updated.
- Verify suppliers: Always use Medicare-approved suppliers to avoid denied claims or excessive costs.
- Review needs annually: Reassess whether your client’s current plan covers all their diabetic needs, especially during the Annual Enrollment Period (AEP).