Diabetic Coverage and Medicare Part 2

Diabetes equipment & supplies & therapeutic shoes

Medicare covers meters that measure blood glucose (also called sugar) and related supplies, including test strips, lancets, lancet holders, and control solutions. Medicare also covers tubing, insertion sets, and insulin for patients using insulin pumps, and sensors for patients using continuous glucose monitors. In addition, Medicare covers one pair of extra-depth or custom shoes and inserts per year for people with specific diabetes-related foot problems. You pay 20% of the Medicare-approved amount if your supplier accepts assignment. The Part B deductible applies. Note: Medicare drug coverage (Part D) may cover insulin, certain medical supplies used to inject insulin (like syringes), disposable pumps, and some oral diabetes drugs. Check with your plan for more information.

Insulin costs with Medicare

Since January 1, 2023, people with Medicare drug coverage (Part D) pay no more than $35 for a one-month supply of each covered insulin, and the Part D deductible doesn't apply to covered insulin. Since July 1, 2023, insulin used with a traditional insulin pump under Part B is also capped at $35 a month. The older Part D Senior Savings Model, which offered $35 insulin only in participating plans, ended on December 31, 2023.

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