What Medicare covers for diabetes

If you're at risk

• Diabetes screenings: up to 2 blood sugar tests a year if your doctor finds you're at risk. You pay nothing if the provider accepts assignment.
• Medicare Diabetes Prevention Program: if you have prediabetes and meet other requirements, Medicare covers a program to help you prevent type 2 diabetes: 16 weekly group sessions over 6 months, then 6 monthly follow-ups. You can attend in person or online, live or at your own pace.

Equipment and supplies (Part B)

• Blood sugar monitors and continuous glucose monitors, with test strips, lancets and other supplies.
• Insulin pumps, and the insulin used in them.
• One pair of extra-depth or custom-molded shoes a year, with inserts or modifications, if you have certain diabetes-related foot problems.

You pay 20% of the Medicare-approved amount after the Part B deductible, if your supplier accepts assignment. Use a Medicare-enrolled supplier; see medical equipment.

Learning to manage diabetes

• Diabetes self-management training: help with healthy eating, activity, checking your blood sugar, taking medicines and reducing risks. You need a diabetes diagnosis and a written order. You pay 20% after the Part B deductible. Some training is available by telehealth.
• Medical nutrition therapy with a registered dietitian, if your doctor refers you. You pay nothing if you qualify.

Insulin and other drugs (Part D)

Part D may cover insulin you inject, supplies like syringes, disposable pumps and some diabetes pills. Each covered insulin costs no more than $35 a month. See insulin and the drug cost cap.

Medicare Advantage

Plans cover at least the same services and may offer extras. Some Chronic Condition Special Needs Plans are built for people with diabetes.