Your Medicare Coverage

Is my test, item, or service covered?

Diabetes self-management training

How often is it covered?

Medicare Part B (Medical Insurance) covers diabetes outpatient self-management training to teach you to cope with and manage your diabetes. It includes tips for eating healthy, being active, monitoring blood sugar, taking medication, and reducing risks. Medicare may cover up to 10 hours of initial diabetes self-management training.

Who's eligible?

This training is for certain people with Medicare who are at risk for complications from diabetes. You must have a written order from a doctor or other health care provider.

You may also qualify for up to 2 hours of follow-up training each year if you meet these conditions:

  • It's provided in a group of 2 to 20 people. Some exceptions apply if no group session is available or if your doctor or qualified provider says you have special needs that prevent you from participating in group training.
  • It lasts for at least 30 minutes.
  • It takes place in a calendar year after the year you got your initial training.
  • Your doctor or qualified provider ordered it as part of your plan of care.

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount, and the Part B deductible applies.

Note

To find out how much your specific test, item, or service will cost, talk to your doctor or other health care provider. The specific amount you’ll owe may depend on several things, like other insurance you may have, how much your doctor charges, whether your doctor accepts assignment, the type of facility, and the location where you get your test, item, or service.

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