Diabetes supplies & services

Posted by:  :  Category: Medicare

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.
Source: medicare.gov

Medicare: American Diabetes Association®

Medicare Part B covers insulin pumps and pump supplies (including the insulin used in the pump) for beneficiaries with diabetes who meet certain requirements. From January 1, 2014 until December 31, 2016, insulin pumps and pump supplies (but not insulin) are included in the Medicare Competitive Bidding Program in 9 areas of the U.S. This means beneficiaries in these 9 areas with Original Medicare (not Medicare Advantage) generally must use a Medicare contract supplier for Medicare to help pay for these items. Learn more about the program here or by calling 1-800-MEDICARE (800-633-4227).  After December 31, 2016, insulin pumps and pump supplies will no longer be part of the Medicare Competitive Bidding Program which means beneficiaries in these 9 areas can use any Medicare supplier that provides insulin pumps and supplies. It is important to ask if the Medicare supplier “accepts assignment” for insulin pumps and pump supplies. This means the supplier will accept the Medicare-approved amount as payment in full, and you cannot be charged more than 20% coinsurance (after you meet your deductible). If a supplier does not accept Medicare assignment, you may be charged more than the 20% coinsurance. Be sure to check with the supplier to find out what your payment will be. 
Source: diabetes.org

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