How Often Does Medicare Pay For Glucose Meter?

Medicare Loosens Rules on Continuous Glucose Monitors MedPage Today

Introduction

Diabetes is a chronic health condition that affects millions of Americans. It requires continuous monitoring of blood sugar levels, which can be achieved through the use of a glucose meter. For those who rely on Medicare for their healthcare coverage, the question of how often Medicare pays for a glucose meter is an important one to consider.

Medicare Coverage for Glucose Meters

Medicare Part B covers the cost of glucose meters and related supplies for beneficiaries who have been diagnosed with diabetes. However, Medicare will only cover the cost of a glucose meter if it is deemed medically necessary by a healthcare provider. This means that beneficiaries must have a documented diagnosis of diabetes and a prescription from their doctor in order to qualify for coverage.

Frequency of Coverage

Once a beneficiary has qualified for coverage, Medicare will typically pay for one glucose meter every five years. However, in some cases, Medicare may allow for more frequent coverage if there is a medical need for additional meters. In order to receive coverage for a new meter, beneficiaries must have a valid prescription and provide documentation of their current meter’s malfunction or loss.

Supplies and Accessories

In addition to glucose meters, Medicare will also cover the cost of related supplies and accessories, such as test strips and lancets. However, the frequency of coverage for these items may vary depending on the beneficiary’s needs. Medicare will typically cover the cost of test strips and lancets for beneficiaries who test their blood sugar levels several times a day.

Conclusion

In conclusion, Medicare will cover the cost of a glucose meter and related supplies for beneficiaries who have been diagnosed with diabetes and have a valid prescription from their healthcare provider. The frequency of coverage for a new meter is typically once every five years, although more frequent coverage may be allowed in certain circumstances. It is important for beneficiaries to work closely with their healthcare provider to ensure that they are receiving the necessary medical equipment and supplies to manage their diabetes.