Diabetes screenings

Medicare Part B (Medical Insurance)

 covers glucose laboratory test screenings (with or without a carbohydrate challenge) if your doctor determines you’re at risk for developing diabetes. You may be eligible for up to 2 screenings each year. Part B covers these lab tests if you have any of these risk factors:

  • High blood pressure (hypertension)
  • History of abnormal cholesterol and triglyceride levels (dyslipidemia)
  • Obesity
  • A history of high blood sugar (glucose)

Medicare also covers these screenings if 2 or more of these apply to you:

  • You’re age 65 or older.
  • You’re overweight.
  • You have a family history of diabetes (parents or siblings).
  • You have a history of gestational diabetes (diabetes during pregnancy) or delivery of a baby weighing more than 9 pounds.
Your costs in Original Medicare

You pay nothing for these tests if your doctor or other qualified health care provider accepts 

assignment

.

Things to know

Insulin savings through the Part D Senior Savings Model

Starting January 1, 2021, you may be able to get Medicare drug coverage that offers broad access to many types of insulin for no more than $35 for a month's supply. You can get this savings on insulin if you join a Medicare drug plan or Medicare Advantage Plan with drug coverage that participates in the insulin savings model. This model lets you choose among drug plans that offer insulin at a predictable and affordable cost.

Find a plan that offers this savings on insulin in your state. You can also filter and compare participating plans to help you find the plan that’s right for you. You can join during yearly Open Enrollment (October 15 – December 7).

Note for people with Extra Help

If you get full Extra Help, your set copayment for insulin is lower than the $35 copayment for a month's supply under the Senior Savings Model. If you get partial Extra Help, you may pay up to a $92 deductible and 15% coinsurance, which may be higher or lower than the $35 copayment under the model. Contact 1-800-MEDICARE if you need help checking the level of Extra Help you get.

 

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