Yes, many areas of diabetes care are covered. Almost 3 of every 10 Americans 65 and older have diabetes.
Those who have Medicare rely on this insurance to help pay for equipment, medications, services and tests. The coverage allows them to access programs, screenings and training to help prevent, detect or manage their diabetes and avoid complications.
In 20 years, the number of U.S. adults with diabetes has doubled to more than 37 million, according to data the federal Centers for Disease Control and Prevention (CDC) gathered from 2017 to March 2020. Almost 16 million are 65 or older.
Nearly 1 in 6 of these Medicare-age adults don’t know they have diabetes. That’s why diabetes screening and education is important.
What screening and education does Medicare cover?
If you’ve been diagnosed with diabetes or have certain risk factors, rest assured, Medicare Part B covers diabetes screenings, prevention programs and nutrition therapy as free preventive services. So you won’t need to first meet your deductible — $233 in 2022 and $226 in 2023 — or make the Part B copayment, which is usually 20 percent of the cost of Medicare-covered services. Part B also covers diabetes self-management training, but you may be subject to the Part B deductible and copay.
Diabetes screening. You’re covered for up to two diabetes screenings a year if your doctor determines you’re in danger of developing diabetes and have any of the following risk factors:
- History of abnormal cholesterol or triglyceride levels.
- History of high blood sugar.
Or if you have two or more of the following conditions:
- Age 65 or older.
- Gestational diabetes during pregnancy or delivering a baby weighing more than 9 pounds.
- Overweight with a body mass index (BMI) of 25 to 29.9.