If you’re wondering whether Medicare covers diabetic test strips, here’s the good news: Medicare Part B has you covered! Part B includes coverage for home blood sugar (glucose) monitors and the necessary supplies, such as blood sugar test strips, lancet devices, and lancets. 

However, it’s important to note that there may be limitations on the quantity and frequency of these supplies.

Medicare Part B diabetic test strips coverage

When it comes to getting your hands on the equipment and supplies you need under Medicare Part B, you have a few options. You might need to rent the equipment, buy it outright, or choose between the two depending on your situation. But here’s the catch: Medicare will only cover your durable medical equipment if your doctors and DME suppliers are enrolled in the program. 

Plus, you’ll need to purchase your testing supplies from a supplier who accepts assignment. That means they agree to be paid directly by Medicare and accept the approved payment amount. In return, they’ll only charge you the coinsurance and Part B deductible. 

Always check if your supplier is one of the Medicare-approved suppliers of diabetic test strips before placing your order. It’s a simple step that ensures you’re working with a supplier who knows the Medicare drill.

Now, keep in mind that the cost of your Medicare diabetic test strips coverage can vary based on other factors, like any secondary insurance you might have.

Are people with Medical Advantage plan covered for diabetic test strips?

Yes, individuals with a Medicare Advantage (Medicare Part C) plan are typically covered for diabetic test strips. Medicare Advantage plans, which private insurance companies sell, offer bundled coverage that includes the diabetes coverage provided by Medicare Part B and prescription coverage similar to Medicare Part D. 

This means that a single plan can encompass medical care, equipment such as glucose monitors, and diabetes medication, including coverage for diabetic test strips.

However, while Medicare Advantage plans are required to cover the same items as Medicare Part B, the cost-sharing and coverage restrictions may vary depending on the specific plan. Therefore, it’s crucial to carefully choose a Medicare Advantage plan that includes prescription benefits when selecting your coverage.

Does Medicare cover test strips for type 2 diabetes?

Yes, Medicare typically covers test strips for individuals with Type 2 diabetes. Medicare Part B, the medical insurance component of Original Medicare, generally covers certain diabetes supplies, including blood glucose test strips, when prescribed by a healthcare provider to manage Type 2 diabetes.

How much does Medicare pay for diabetic test strips?

Medicare will typically pay 80% of the Medicare-approved amount for diabetic test strips after you have met your Part B deductible for the year, which is $240 in 2024. The remaining 20% would be your responsibility to pay out of pocket. Keep in mind that your specific out-of-pocket expenses depend on factors like your doctor’s charges, where you get your supplies, and whether you have additional insurance.

How do I get my diabetic supplies through Medicare?

• Diagnosis: Make sure you have a confirmed diagnosis of diabetes from your healthcare provider.
• Medicare Coverage: Understand your Medicare coverage. Medicare Part B generally covers diabetic supplies, including blood sugar monitors, test strips, lancets, and other necessary equipment.
• Healthcare Provider: Consult with your healthcare provider to obtain a prescription for the diabetic supplies you need. They will need to document your medical necessity for these supplies.
• Medicare Supplier: Choose a Medicare-approved supplier to provide the diabetic test supplies Medicare covers. You can find a list of approved suppliers on the Medicare website or by contacting Medicare directly.
• Submitting Claims: When you receive your diabetic supplies, the supplier will typically handle the billing process by submitting claims directly to Medicare. However, reviewing your Medicare Summary Notice (MSN) is important to ensure accuracy.
• Costs and Coverage: Be aware of the costs and coverage details. Generally, Medicare will cover 80% of the Medicare-approved amount for diabetic supplies once you have met your Part B deductible. You will be responsible for the remaining 20% as well as any applicable deductible or coinsurance.
• Medigap or Medicare Advantage: If you have a Medigap (Medicare Supplement) plan or a Medicare Advantage plan, you may have additional coverage and benefits for diabetic supplies. Review your plan’s documentation or contact your insurance provider to understand your specific coverage.

How many diabetic test strips will Medicare pay for?

If you use insulin to manage your diabetes, Medicare will pay for up to 300 test strips and 300 lancets each month. That’s quite a generous amount! However, if you don’t use insulin, don’t worry—you may still qualify for 100 test strips per month.

What diabetic test strips are covered by Medicare?

Medicare covers a range of diabetic test strips, including those that are compatible with common blood glucose monitors. Examples of brands covered by Medicare include OneTouch and Accu-Chek. It’s important to note that these are just a few examples, and other brands may also be covered.

If you prefer a specific brand of diabetic test strips, you can inform your doctor, and they can write a prescription stating “Do Not Substitute.” This ensures that you receive the specific brand you prefer.

However, it’s important to understand that the coverage of diabetic test strips may vary depending on your specific Medicare plan and any associated limitations or requirements. 

To get the most accurate and up-to-date information regarding the diabetic test strips covered by your Medicare plan, it’s best to consult with Medicare directly or review the Medicare website. Your healthcare provider or pharmacist can also provide guidance on the coverage details for diabetic test strips under your Medicare plan. 

Summary

Whether you use insulin or not, Medicare has you covered. Insulin users can get up to 300 test strips and 300 lancets each month, while non-insulin users can still have 100 test strips. 

Once you meet the Part B deductible, Medicare pays 80%, and you cover the remaining 20% coinsurance. Just make sure your doctors and suppliers are enrolled in Medicare, and choose those who accept assignment. 

Stay on top of your diabetes game with peace of mind, knowing that Medicare covers diabetic test strips and your supply needs. Keep healthy!