Frequently Asked Questions about Insulin and diabetic supplies

Aug, 14 2024 — Maybe, depending on whether you are using a traditional insulin pump or a disposable insulin pump.  The Centers for Medicare and Medicaid Services (CMS) has recognized that some disposable insuli . . .

Aug, 14 2024 — Yes.  Under certain conditions, Medicare will cover a continuous glucose monitor (CGM) - and Medicare specifically notes: “If your doctor [primary care physician] determines that you meet . . .

Oct, 23 2023 — A Special Needs Plan (SNP) is a type of Medicare Advantage plan (MAPD) with healthcare benefits, provider choices, and drug formularies (list of covered drugs) designed for people who meet certain . . .

Jun, 24 2024 — No.  Your Medicare Part D prescription drug plan will not cover your glucose test strips - instead, diabetic test strips are covered by Medicare Part B as Durable Medical Equipment (DME). Howe . . .

Sep, 09 2024 — Yes.  The Inflation Reduction Act (IRA) requires that a 30-day supply of any insulin product on a 2025 Medicare Part D prescriptions drug plan's formulary is covered at a maximum $35 copay throu . . .

May, 04 2023 — First available in 2021, the Medicare Part D  "Senior Savings Model" (SSM), is a voluntary program where stand-alone Medicare Part D plans (PDPs) and Medicare Advantage plans with drug coverage . . .