Does Medicare provide coverage for type 1 diabetes?

2 answers | Last updated: Nov 21, 2016
A fellow caregiver asked...

Does Medicare provide coverage for type 1 diabetes?


Expert Answers

It certainly does. Medicare Part B covers much -- usually 80 percent -- of the cost of diagnosis, examinations, and medical care, including diabetes care from your doctor, diabetes screening, self-management training, nutrition therapy, and special diabetes related testing (such as hemoglobin, glaucoma and other eye exams). It also covers equipment and supplies related to diabetes, such as blood sugar self-testing equipment, insulin pumps and therapeutic shores or inserts.

 

Medicare Part D prescription drug plan covers much of the cost of insulin and other anti-diabetic drugs, as well as supplies required to deliver those drugs (such as syringes, needles, alcohol swabs, and inhalation devices). Under a Part D plan, you'll be personally responsible for a copayment for most drugs.

 

To get details about coverage for diabetes care, supplies, and drugs, look at the extensive Medicare booklet Medicare Coverage of Diabetes Supplies & Services.


Community Answers

User 130405 answered...

My daughter is 45 years old and is a Type 1 diabetic since she was 9 years old. She recently lost coverage from her insurance company - they told her she had maxed out her coverage for the year and now she is trying to get medical assistance becuae she was recently diagnosed with stage 4 Kidney failure and needs to be on dialysis as well as other medical needs ie eye surgery - she works parttime and I'm afraid that they will take their time trying to decide is she gets coverage. I feel like time is running out - what other options can we research to get help.