Diabetes screenings

Medicare Part B (Medical Insurance) covers blood glucose (blood sugar) laboratory test screenings (including the Hemoglobin A1C test, and other tests with or without a carbohydrate challenge) if your doctor determines you’re at risk for developing diabetes. If you qualify to get diabetes screenings, you can get up to 2 each year (within 12 months of your most recent screening). 

Part B covers these screenings if you have any of these risk factors:

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

Part B also covers these screenings if 2 or more of these conditions apply to you:

  • You’re 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 screenings if your doctor or other health care provider accepts  assignment .

Is my test, item, or service covered?