Medicare Part B (Medical Insurance)
covers the Medicare Diabetes Prevention Program once in a lifetime if all of these conditions apply to you:
- You have a hemoglobin A1c test result between 5.7 and 6.4%, a fasting plasma glucose of 110-125mg/dL, or a 2-hour plasma glucose of 140-199 mg/dL (oral glucose tolerant test) within 12 months before attending the first core session.
- You have a body mass index (BMI) of 25 or more (BMI of 23 or more if you’re Asian).
- You've never been diagnosed with type 1 or type 2 diabetes or End-Stage Renal Disease (Esrd) .
- You've never participated in the Medicare Diabetes Prevention Program.
Your costs in Original Medicare
You pay nothing for these services if you're eligible.
What it is
The Medicare Diabetes Prevention Program is a proven health behavior change program to help you prevent type 2 diabetes.
The program begins with weekly core sessions offered in a group setting over a 6-month period. In these sessions, you’ll get:
- Training to make realistic, lasting changes around diet and exercise
- Tips on how to get more exercise
- Strategies for controlling your weight
- A specially trained coach to help keep you motivated
- Support from people with similar goals and challenges
Once you complete the core sessions, you’ll get:
- 6 monthly follow-up sessions to help you maintain healthy habits
- 12 additional months of ongoing maintenance sessions if you meet certain weight loss and attendance goals
Things to know
See if there's a Medicare Diabetes Prevention Program supplier in your area.