What is diabetes?

Diabetes is a chronic health condition that affects how your body converts food into energy. There are two main types of diabetes: type 1 and type 2. In type 1 diabetes, the body does not produce insulin, while in type 2 diabetes, the body does not use insulin properly.

What is FreeStyle Libre?

FreeStyle Libre is a continuous glucose monitoring (CGM) system that helps individuals with diabetes to monitor their blood sugar levels throughout the day. The system consists of a small sensor attached to the skin that measures glucose levels in the interstitial fluid. Users can easily scan the sensor with a reader or a compatible smartphone to check their glucose levels without the need for routine finger pricks.

What other CGMs or insulin pumps does Medicare cover?

Medicare also covers other CGMs and insulin pumps, including Dexcom and Medtronic, among others. These devices serve a similar purpose to the FreeStyle Libre system and help individuals manage their diabetes effectively.

What parts of Medicare cover diabetes?

Medicare provides coverage for various aspects of diabetes care and management, including through its different parts.

Part D

Medicare Part D offers coverage for prescription drugs, including insulin and other medications used to manage diabetes.

Current status of in-person meetings with a doctor

Amid the ongoing COVID-19 pandemic, many healthcare providers have increasingly embraced telemedicine to conduct remote consultations with patients, providing a safe and convenient option for individuals with diabetes to manage their condition.

Are there costs outside coverage?

While Medicare covers a range of diabetes-related expenses, there may still be certain costs that beneficiaries need to consider. These costs may fall under different parts of Medicare, such as Part B, Medigap, and Medicare Advantage.

Part B

Medicare Part B covers certain medical services and supplies for diabetes management, such as blood sugar testing monitors, test strips, and lancets.

Medigap

Medigap, or Medicare Supplement Insurance, can help cover some of the out-of-pocket costs that Original Medicare (Part A and Part B) does not cover, such as copayments, coinsurance, and deductibles.

Medicare Advantage

Medicare Advantage plans, also known as Medicare Part C, are offered by private companies approved by Medicare. These plans often provide additional coverage beyond what is included in Original Medicare, potentially including coverage for diabetes-related supplies and services.

Help with costs

Certain individuals with limited income and resources may be eligible for assistance programs that help cover the costs of Medicare premiums, deductibles, and other out-of-pocket expenses related to diabetes management.