Home Health Four Tips To Manage Your Diabetes While On Medicare

Four Tips To Manage Your Diabetes While On Medicare

Part D of Medicare pays for prescription drugs but if you reach a certain annual limit, the federal government will stop paying for your medication, leaving you with the tab and creating a situation called the doughnut hole. The name is ironic since this little clause in Medicare Part D is especially difficult for people with diabetes. The costs of diabetes drugs, blood glucose monitoring equipment, insulin delivery devices, and therapeutic shoes/inserts can run into thousands of dollars, leaving patients with very little leeway when it comes to managing their condition. Here are some useful ways that can get you started on managing diabetes while on Medicare.

Enroll in Parts B and D

Making sure that you are enrolled in both Parts B and D will safeguard you from a lot of the expenses of equipment. Part B will cover your insulin, insulin pumps and Continuous Glucose Monitors (CGM) as these count as durable medical equipment. Part D can then take care of your prescription diabetes medication.

Pick a Medicare-Insured Pharmacy that Accepts Assignments for Medicare-Covered Supplies

This will save you from paying the entire bill for the supplies upfront. It will also save you from having to pay an assignment fee over and above your prescription bill. If you choose a pharmacy outside of Medicare, you’ll have to pay the total cost and then wait for Medicare to reimburse you.

Consider Medicare Supplemental Plans

Plans like Medicare Advantage (also known as Part C) and Medigap will be able to cover what traditional Medicare misses. Though Medicare covers up to 80 percent of approved Medicare costs, a good supplemental plan might keep you afloat longer.

Study What Services and Supplies Do Get Covered by Medicare

Apart from your drugs and equipment, certain health insurance plans cover aWelcome to Medicare” preventative visit with no co-payments and no part b deductibles in the first 12 months of your being enrolled in the plan as well as a “yearly wellness visit” after 12 months to assess your treatment plan.  

You can apply for a Medicare Savings Program to help with the premiums and copayments. This program was instituted to help individuals with an income range of $1,000 to $1,400 a month and couples with an income range of $1,400 to $1,900 a month.

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