Medicare Diabetes Prevention Program
Medicare Part B (Medical Insurance) covers the Medicare Diabetes Prevention Program once in your lifetime, if all of these conditions apply to you:
- Within 12 months before attending your first core session, you have either a:
- Hemoglobin A1c test result between 5.7% and 6.4%
- Fasting plasma glucose of 110-125mg/dL
- 2-hour plasma glucose of 140-199 mg/dL (oral glucose tolerant test)
- 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 this program if you qualify for it.
What it is
The Medicare Diabetes Prevention Program is a health behavior change program to help you prevent type 2 diabetes.
The program begins with 16 weekly core sessions offered in a group setting over a 6-month period. In these sessions, you’ll get:
- Training to make realistic, lasting behavior changes around diet and exercise
- Tips for getting more exercise
- Strategies to control 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.
Things to know
- You can get these services virtually (through December 31, 2027) or in person from an approved Medicare Diabetes Prevention Program supplier. These suppliers may be traditional health care providers or organizations like community centers or faith-based organizations. To find a supplier, use the search at the top of this page.
- If you're in a Medicare Advantage Plan, you may have to go to an in-network provider to get these services. Contact your plan for more information.